CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Sheridan Memorial Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $1,200
Cash Discount Price: $663
vs. Medicare Baseline: 11.23x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Sheridan Memorial Hospital is $1,200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $663. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.23x the Medicare baseline. Located in 1401 W 5Th St, Sheridan, WY.

Cash / Self-Pay

$663

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,200

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: $663 (621%)

Insurance Median: $1,200 (1123%)

Cash: $663 (621% of Medicare)

Ins. Median: $1,200 (1123% 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 1123% of the Medicare baseline (a markup of 1023%). 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
Humana	$39 - $114	37%
Blue Cross Blue Shield	$80 - $1,177	75%
Pacificsource-All Plans	$210 - $1,248	197%
Wise Provider Network-All Plans	$210 - $1,319	197%
Medi-Share Profee Only - All Plans	$215	201%
Miscellaneous-All Plans	$215 - $1,276	201%
Cigna	$222 - $1,319	208%
First Choice Comm - All Plans	$227 - $1,347	213%
Phcs Multiplan-All Plans	$227 - $1,347	213%
Three Rivers-All Plans	$227 - $1,347	213%
Wy School Boards-All Plans	$1,184	1109%
UnitedHealthcare	$1,215	1138%
C1 Employee - All Plans	$1,276	1195%
Casper Opco Llc - All Plans	$1,276	1195%
First Health Comm - All Plans	$1,276	1195%
Ebms - All Plans	$1,347	1261%

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 $663.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sheridan Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.