CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Black River Memorial Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $826
Cash Discount Price: $1,691
vs. Medicare Baseline: 7.73x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Black River Memorial Hospital is $826. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,691. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.73x the Medicare baseline. Located in 711 W Adams St, Black River Falls, WI.

Cash / Self-Pay

$1,691

Average discount available for prompt cash payment at this facility.

Insurance Median

$826

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: $1,691 (1583%)

Insurance Median: $826 (773%)

Cash: $1,691 (1583% of Medicare)

Ins. Median: $826 (773% 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 773% of the Medicare baseline (a markup of 673%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Multiplan	$29 - $1,860	27%
Blue Cross Blue Shield	$38 - $958	36%
Group Health Cooperative Of Eau Claire	$38 - $1,823	36%
Humana	$38 - $1,747	36%
My Choice Wisconsin, Inc.	$38 - $958	36%
Quartz Health Solutions, Inc	$38 - $1,710	36%
UnitedHealthcare	$38 - $1,772	36%
Corvel	$530 - $1,146	496%
Security Health Plan	$728 - $1,755	682%
The Alliance	$739 - $1,804	692%
Triology Health Solutions	$782 - $1,785	732%
Medica	$812 - $1,755	760%
Association Benefits Solution	$826 - $1,785	773%
Family Health Center Of Marshfield	$826 - $1,785	773%
First Health Group Corporation	$826 - $1,785	773%
Provider Network Of America	$826 - $1,785	773%
Cigna	$843 - $1,823	789%
Cofinity	$843 - $1,823	789%
Coventry Health Care	$843 - $1,823	789%
Custom Benefit Administrators	$843 - $1,823	789%
Healthpartners, Inc.	$843 - $1,823	789%
Wisconsin Physicians Service Insurance Corp	$843 - $1,823	789%
Chorus	$852 - $1,841	798%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,691.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Black River Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.