CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HSHS St Clare Memorial Hospital

Billing Code: 70460 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$363
about 2.0× the $179 Medicare rate · typically $148–$1,159
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,215
Well above the fair price
about $852 over the fair price · 6.8× Medicare
Medicare pays $179 Fair price $363 This hospital $1,215 Cash price $1,770 Hospital's list price $2,682

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $51 Priciest $1,215

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, head (with contrast) is about $363 (about 2.0× the $179 Medicare rate). HSHS St Clare Memorial Hospital charges insurers about $1,215, or about $1,770 in cash — well above the fair price. Located in Oconto Falls, WI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $363. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $644 - $1,248 359%
Blue Cross Blue Shieldmajor $494 - $1,239 276%
Aetnamajor $644 - $2,682 359%
Cignamajor $1,676 935%
Humanamajor $644 - $2,280 359%
Health Net $1,215 678%
Meridian $494 276%
Molina $523 - $1,341 292%
Security Health Plan $650 - $1,712 363%
+ 16 smaller / regional plans $179 - $2,682
Government programs also on file: Medicaid.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 855 S Main St, Oconto Falls, WI 54154
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals