CMS Price Transparency Data

CT scan, head (with contrast)

Facility: St Marys Hospital Superior

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $706
  • Cash Discount Price: $1,298
  • vs. Medicare Baseline: 3.94x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at St Marys Hospital Superior is $706. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,298. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.94x the Medicare baseline. Located in 3500 Tower Ave, Superior, WI.
Cash / Self-Pay
$1,298

Average discount available for prompt cash payment at this facility.

Insurance Median
$706

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $1,298 (724%)
Insurance Median: $706 (394%)
Cash: $1,298 (724% of Medicare)
Ins. Median: $706 (394% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 394% of the Medicare baseline (a markup of 294%). 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
Primewest $177 99%
Itasca Med Care $178 99%
Advocare/Security Health $562 314%
Blue Cross Blue Shield $562 - $1,410 314%
Freedom Blue Ppo $562 314%
Healthpartners Care Msho / Mcr Adv $562 314%
Imcare Msho Pcc Prime $562 314%
Imcare Msho Ref Req $562 314%
Medica Advantage Solutions $562 314%
Medica Msho/Dual Solutions $562 314%
Medica Prime Solution Group $562 314%
Medica Uplan $562 314%
Medicare (plans) $562 314%
Nd Va Administration $562 314%
Platinum Blue/Vantage Blue $562 314%
Primewest Msho $562 314%
Secure Blue Msho $562 314%
Ubh Cost Plan $562 314%
Ubh Msho $562 314%
Ucare Msho $562 314%
UnitedHealthcare $562 - $1,589 314%
Blue Plus Pmap Pcc Prime $674 376%
Healthpartners Care Pmap $706 394%
Medica Access $706 394%
Sanford Healthplan $753 420%
Ucare $1,155 645%
Healthpartners $1,187 - $1,370 662%
Medica $1,234 - $1,371 689%
Wea $1,264 - $1,352 705%
Security Health $1,352 754%
America'S Ppo $1,361 759%
Cigna $1,370 765%
Healthpartners Pcc Prime $1,370 765%
Medica Choice $1,412 788%
Wps $1,475 823%
Aetna $1,493 833%
Healtheos $1,510 843%

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