CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Richland Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $297
Cash Discount Price: $2,533
vs. Medicare Baseline: 1.66x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Richland Hospital is $297. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,533. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.66x the Medicare baseline. Located in 333 E Second St, Richland Center, WI.

Cash / Self-Pay

$2,533

Average discount available for prompt cash payment at this facility.

Insurance Median

$297

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: $2,533 (1414%)

Insurance Median: $297 (166%)

Cash: $2,533 (1414% of Medicare)

Ins. Median: $297 (166% 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.

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
Blue Cross Blue Shield	$56 - $2,849	31%
Security Health	$56 - $1,108	31%
Group Health Coop Of Eau Claire	$58 - $3,902	32%
Care Wisconsin	$64 - $3,902	36%
Dean Health Plan	$64 - $3,902	36%
Health Tradition	$64 - $3,902	36%
UnitedHealthcare	$64 - $3,902	36%
Humana	$65 - $3,902	36%
Quartz	$65 - $3,902	36%
Aetna	$469 - $2,849	262%
Cigna	$469 - $2,090	262%
Employer Health Care Alliance	$469 - $2,216	262%

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 $2,533.
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 Richland 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.