CMS Price Transparency Data

CT scan, head (no contrast)

Facility: St Marys Hospital Superior

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,151
  • Cash Discount Price: $1,259
  • vs. Medicare Baseline: 10.78x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at St Marys Hospital Superior is $1,151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,259. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.78x the Medicare baseline. Located in 3500 Tower Ave, Superior, WI.
Cash / Self-Pay
$1,259

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,151

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,259 (1179%)
Insurance Median: $1,151 (1078%)
Cash: $1,259 (1179% of Medicare)
Ins. Median: $1,151 (1078% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1078% of the Medicare baseline (a markup of 978%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Itasca Med Care $106 99%
Primewest $106 99%
Advocare/Security Health $545 510%
Blue Cross Blue Shield $545 - $1,368 510%
Freedom Blue Ppo $545 510%
Healthpartners Care Msho / Mcr Adv $545 510%
Imcare Msho Pcc Prime $545 510%
Imcare Msho Ref Req $545 510%
Medica Advantage Solutions $545 510%
Medica Msho/Dual Solutions $545 510%
Medica Prime Solution Group $545 510%
Medica Uplan $545 510%
Medicare (plans) $545 510%
Nd Va Administration $545 510%
Platinum Blue/Vantage Blue $545 510%
Primewest Msho $545 510%
Secure Blue Msho $545 510%
Ubh Cost Plan $545 510%
Ubh Msho $545 510%
Ucare Msho $545 510%
UnitedHealthcare $545 - $1,541 510%
Blue Plus Pmap Pcc Prime $654 - $937 612%
Healthpartners Care Pmap $685 641%
Medica Access $685 - $1,069 641%
Sanford Healthplan $730 - $769 683%
Ucare $1,121 1050%
Healthpartners $1,151 - $1,357 1078%
Medica $1,197 - $1,330 1121%
Wea $1,226 - $1,311 1148%
Security Health $1,311 1227%
America'S Ppo $1,320 1236%
Cigna $1,328 - $1,357 1243%
Healthpartners Pcc Prime $1,328 - $1,357 1243%
Medica Choice $1,369 1282%
Wps $1,413 - $1,431 1323%
Aetna $1,448 1356%
Healtheos $1,465 1372%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3500 Tower Ave, Superior, WI 54880
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals