CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Childrens Hospital of Wisconsin

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,859
  • Cash Discount Price: $1,208
  • vs. Medicare Baseline: 17.40x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Childrens Hospital of Wisconsin is $1,859. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,208. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.40x the Medicare baseline. Located in 9000 W Wisconsin Ave, Milwaukee, WI.
Cash / Self-Pay
$1,208

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,859

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: $1,208 (1131%)
Insurance Median: $1,859 (1740%)
Cash: $1,208 (1131% of Medicare)
Ins. Median: $1,859 (1740% 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 1740% of the Medicare baseline (a markup of 1640%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Froedtert Health $1,538 - $1,868 1440%
Medical College Of Wisconsin $1,538 1440%
Network Health Plan $1,564 1464%
UnitedHealthcare $1,615 - $1,672 1512%
Aspirus Health Plan $1,648 1543%
Common Ground Healthcare Cooperative $1,648 - $1,868 1543%
Trilogy Health Solutions $1,648 - $1,868 1543%
Wps Health Plan $1,670 - $1,978 1564%
Advocate Aurora Healthcare $1,692 1584%
Blue Cross Blue Shield $1,714 - $2,087 1605%
Centivo $1,714 1605%
Health Partners $1,714 - $1,934 1605%
Employer Health Care Alliance Cooperative $1,725 1615%
Dean Health Plan $1,758 1646%
Group Health Cooperative Of Eau Claire $1,758 1646%
Oan Llc $1,758 1646%
Security Health Plan $1,824 1708%
Health Payment Systems $1,859 1740%
Praire States $1,868 1749%
Quartz Health Insurance $1,868 1749%
Sheboygan Employer'S Health Network $1,868 1749%
Mayo Clinic Health Solutions $1,912 1790%
Aetna $1,934 - $1,956 1811%
Bellin Thedacare $1,978 1852%
Cigna $1,978 1852%
Group Health Cooperative Of South Central Wisconsin $1,978 1852%
Prevea Health Network $1,978 1852%
Multiplan $2,000 - $2,087 1872%
Coventry Health Care $2,087 1954%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9000 W Wisconsin Ave, Milwaukee, WI 53226
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens