CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Black River Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $962
Cash Discount Price: $2,020
vs. Medicare Baseline: 5.37x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Black River Memorial Hospital is $962. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,020. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.37x the Medicare baseline. Located in 711 W Adams St, Black River Falls, WI.

Cash / Self-Pay

$2,020

Average discount available for prompt cash payment at this facility.

Insurance Median

$962

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: $2,020 (1127%)

Insurance Median: $962 (537%)

Cash: $2,020 (1127% of Medicare)

Ins. Median: $962 (537% 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 537% of the Medicare baseline (a markup of 437%). 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	$36 - $2,222	20%
Humana	$50 - $2,087	28%
UnitedHealthcare	$50 - $2,116	28%
Blue Cross Blue Shield	$51 - $1,144	28%
Group Health Cooperative Of Eau Claire	$51 - $2,177	28%
My Choice Wisconsin, Inc.	$51 - $1,144	28%
Quartz Health Solutions, Inc	$51 - $2,042	28%
Corvel	$605 - $1,369	338%
Security Health Plan	$831 - $2,096	464%
The Alliance	$843 - $2,154	470%
Triology Health Solutions	$893 - $2,132	498%
Medica	$927 - $2,096	517%
Association Benefits Solution	$942 - $2,132	526%
Family Health Center Of Marshfield	$942 - $2,132	526%
First Health Group Corporation	$942 - $2,132	526%
Provider Network Of America	$942 - $2,132	526%
Cigna	$962 - $2,177	537%
Cofinity	$962 - $2,177	537%
Coventry Health Care	$962 - $2,177	537%
Custom Benefit Administrators	$962 - $2,177	537%
Healthpartners, Inc.	$962 - $2,177	537%
Wisconsin Physicians Service Insurance Corp	$962 - $2,177	537%
Chorus	$972 - $2,199	542%

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 $2,020.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

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 70460.
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.