CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Columbus Community Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $886
Cash Discount Price: $2,280
vs. Medicare Baseline: 4.94x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Columbus Community Hospital is $886. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,280. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.94x the Medicare baseline. Located in 1515 Park Ave, Columbus, WI.

Cash / Self-Pay

$2,280

Average discount available for prompt cash payment at this facility.

Insurance Median

$886

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: $2,280 (1272%)

Insurance Median: $886 (494%)

Cash: $2,280 (1272% of Medicare)

Ins. Median: $886 (494% 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 494% of the Medicare baseline (a markup of 394%). 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
Dean Health Plan	$179 - $1,579	100%
My Choice Wisconsin	$179 - $570	100%
Quartz	$179 - $2,723	100%
Security Health Plan	$179 - $3,094	100%
UnitedHealthcare	$179 - $3,440	100%
Alliance	$499	278%
Blue Cross Blue Shield	$570 - $3,192	318%
Icare	$570 - $1,202	318%
Cigna	$2,479	1383%
Health Payment Systems	$3,109	1735%
Trilogy	$3,399	1897%
Wps	$3,490	1948%
Healtheos	$3,606 - $3,855	2012%
First Health	$3,648	2036%
Humana	$3,730	2081%

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 $2,280.
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 Columbus Community 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.