CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Regional Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $870
  • Cash Discount Price: $1,244
  • vs. Medicare Baseline: 8.15x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Regional Medical Center is $870. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,244. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.15x the Medicare baseline. Located in 709 W Main Street, Manchester, IA.
Cash / Self-Pay
$1,244

Average discount available for prompt cash payment at this facility.

Insurance Median
$870

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: $1,244 (1165%)
Insurance Median: $870 (815%)
Cash: $1,244 (1165% of Medicare)
Ins. Median: $870 (815% 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 815% of the Medicare baseline (a markup of 715%). 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
Medical Associates Health Plan - Tri $870 815%

Consumer Guidance & Cost Commentary

For a CT scan of the head without contrast at Regional Medical Center in Manchester, Iowa, the cash price is $1,244. This facility, a government-owned Critical Access Hospital, lists a negotiated rate of $870 with Medical Associates Health Plan - Tri, which is higher than the cash option. While the facility's rating is 4 stars, patients should verify if their specific insurance plan covers this service, as commercial negotiated rates often exceed cash prices for those with high deductibles.

The Medicare benchmarking rate for this procedure is $106.81, which serves as the objective baseline for evaluating pricing markups. Although the data does not provide specific state or county average figures for comparison, patients are encouraged to request an itemized bill before paying to ensure no unbundled codes or services not rendered are included. If you choose to pay out-of-pocket, ask the billing department about prompt-pay discounts that could further reduce the $1,244 cash rate.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 709 W Main Street, Manchester, IA 52057
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals