CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Gundersen St Josephs Hospital and Clinics

Billing Code: 70460 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$631
about 3.5× the $179 Medicare rate · typically $151–$1,845
modeled estimate · not a bill or quote
Medicare pays $179 Fair price $631 Cash price $1,529 Hospital's list price $2,632

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,395 - $1,840 778%
Blue Cross Blue Shieldmajor $851 - $2,313 475%
Aetnamajor $2,500 1395%
Cignamajor $2,158 1204%
Humanamajor $2,237 1248%
Amerigroup $138 77%
Quartz $1,434 800%
Security Health Plan $517 289%
UCare $1,369 - $2,106 764%
+ 4 smaller / regional plans $851 - $3,091
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 400 Water Ave, Hillsboro, WI 54634
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals