CT scan, head (with and without contrast)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 70470 (CPT)
- CPT Billing Code: 70470
- Insurance Median: $4,423
- Cash Discount Price: $5,897
- vs. Medicare Baseline: 24.68x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 2468% of the Medicare baseline (a markup of 2368%). 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.
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 | $3,538 | 1974% |
| Americas Choice Provider Network | $4,128 | 2304% |
| Quiktrip Corporation | $4,423 | 2468% |
| Velocity | $4,423 | 2468% |
| Usa Managed Care Organization | $4,423 | 2468% |
| Provider Network Of America | $4,423 | 2468% |
| Multiplan-Phcs | $4,718 | 2633% |
| Prime Health Services | $5,013 | 2797% |
| Medincrease | $5,308 | 2962% |
Consumer Guidance & Cost Commentary
For the CPT code 70470, representing a CT scan of the head with and without contrast, the Rehabilitation Hospital Of Overland Park lists a cash median price of $5,897.00. This cash rate is significantly higher than the facility's negotiated rates, which average $4,423.00 across nine payers, including Blue Cross Blue Shield and Americas Choice Provider Network. While the facility's cash price is notably elevated compared to the national average, it is important to note that for patients with high-deductible plans, paying the cash price directly can sometimes be more cost-effective than relying on insurance, as the insurer's negotiated rate often exceeds the cash price. Patients should verify their specific plan's deductible status and ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront.
When evaluating the cost of this procedure, it is crucial to compare rates against the Medicare benchmark rather than the hospital's gross chargemaster. The Medicare amount for this service is $179.20, and the facility's cash price is 24.7 times higher than this federal baseline, indicating a substantial markup typical of commercial pricing structures. Because commercial negotiated rates often include administrative overhead and contract dynamics that inflate the baseline price, patients should ignore "savings" calculated off the inflated list price and instead focus on the difference between the cash rate and the Medicare rate. To ensure transparency and avoid unexpected costs, patients are encouraged to request a detailed, itemized billing statement before payment, which allows for the identification of any unbundled codes or services not rendered,