CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Southwest Health Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $2,211
Cash Discount Price: $2,126
vs. Medicare Baseline: 12.34x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Southwest Health Center is $2,211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,126. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 12.34x the Medicare baseline. Located in 1400 East Side Rd, Platteville, WI.

Cash / Self-Pay

$2,126

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,211

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $2,126 (1186%)

Insurance Median: $2,211 (1234%)

Cash: $2,126 (1186% of Medicare)

Ins. Median: $2,211 (1234% of 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 1234% of the Medicare baseline (a markup of 1134%). 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
Blue Cross Blue Shield	$850 - $2,834	474%
Care Wisconsin	$850 - $1,842	474%
UnitedHealthcare	$879 - $2,324	491%
Dean Health Plan	$1,292	721%
Quartz	$1,757 - $2,211	980%
Cigna	$2,126	1186%
Wps	$2,126	1186%
Group Health Cooperative of Sc	$2,267 - $2,466	1265%
Humana	$2,551	1424%
Healthchoice	$2,692	1502%
Group Health Eau Claire	$2,834	1581%
Group Health South Central	$2,834	1581%

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 $2,126.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Southwest Health Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.