CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Black River Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,667
Cash Discount Price: $2,593
vs. Medicare Baseline: 9.30x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Black River Memorial Hospital is $1,667. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,593. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.30x the Medicare baseline. Located in 711 W Adams St, Black River Falls, WI.

Cash / Self-Pay

$2,593

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,667

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: $2,593 (1447%)

Insurance Median: $1,667 (930%)

Cash: $2,593 (1447% of Medicare)

Ins. Median: $1,667 (930% 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 930% of the Medicare baseline (a markup of 830%). 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	$44 - $2,852	25%
Humana	$56 - $2,679	31%
UnitedHealthcare	$56 - $2,717	31%
Blue Cross Blue Shield	$57 - $1,469	32%
Group Health Cooperative Of Eau Claire	$57 - $2,795	32%
My Choice Wisconsin, Inc.	$57 - $1,469	32%
Quartz Health Solutions, Inc	$57 - $2,622	32%
Corvel	$1,071 - $1,757	598%
Security Health Plan	$1,469 - $2,691	820%
The Alliance	$1,492 - $2,766	833%
Triology Health Solutions	$1,580 - $2,737	882%
Medica	$1,639 - $2,691	915%
Association Benefits Solution	$1,667 - $2,737	930%
Family Health Center Of Marshfield	$1,667 - $2,737	930%
First Health Group Corporation	$1,667 - $2,737	930%
Provider Network Of America	$1,667 - $2,737	930%
Cigna	$1,702 - $2,795	950%
Cofinity	$1,702 - $2,795	950%
Coventry Health Care	$1,702 - $2,795	950%
Custom Benefit Administrators	$1,702 - $2,795	950%
Healthpartners, Inc.	$1,702 - $2,795	950%
Wisconsin Physicians Service Insurance Corp	$1,702 - $2,795	950%
Chorus	$1,720 - $2,823	960%

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 $2,593.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

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 70470.
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.