CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Memorial Hospital of Carbon County

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $379
  • Cash Discount Price: $313
  • vs. Medicare Baseline: 3.55x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Memorial Hospital of Carbon County is $379. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $313. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.55x the Medicare baseline. Located in 2221 West Elm Street, Rawlins, WY.
Cash / Self-Pay
$313

Average discount available for prompt cash payment at this facility.

Insurance Median
$379

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: $313 (293%)
Insurance Median: $379 (355%)
Cash: $313 (293% of Medicare)
Ins. Median: $379 (355% 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 355% of the Medicare baseline (a markup of 255%). 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
Three_River_Providers_Network $245 - $1,314 229%
Wise_Provider_Networks $245 - $1,314 229%
Zelis $245 - $1,314 229%
Lhi $293 274%
Corechoice $294 - $1,577 275%
First_Choice_Health $294 - $1,577 275%
Blue Cross Blue Shield $301 - $1,612 282%
Cigna $304 - $1,629 285%
UnitedHealthcare $314 - $1,682 294%
Interwests_Ppo_Network $317 - $1,699 297%
Multiplan $317 - $1,699 297%
Medicare (plans) $911 853%
Vaccn $911 853%
Medicaid / KanCare $1,752 1640%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2221 West Elm Street, Rawlins, WY 82301
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals