CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Methodist Hospitals Inc

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $312
  • Cash Discount Price: $2,512
  • vs. Medicare Baseline: 2.92x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Methodist Hospitals Inc is $312. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,512. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.92x the Medicare baseline. Located in 600 Grant St, Gary, IN.
Cash / Self-Pay
$2,512

Average discount available for prompt cash payment at this facility.

Insurance Median
$312

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: $2,512 (2352%)
Insurance Median: $312 (292%)
Cash: $2,512 (2352% of Medicare)
Ins. Median: $312 (292% 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 292% of the Medicare baseline (a markup of 192%). 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
Aetna $110 - $2,655 103%
Blue Cross Blue Shield $110 - $3,086 103%
Humana $110 - $221 103%
Medicare (plans) $110 103%
United Heathcare $110 103%
Zing $112 105%
Caresource Maketplace $182 170%
Ambetter / Centene $220 206%
Caresource $221 207%
Managed Health Services $221 207%
Medicaid / KanCare $221 207%
UnitedHealthcare $221 - $572 207%
Physicians Health Plan Of Northern Indiana $330 309%
Magnacare $523 490%
Cigna $1,378 - $1,496 1290%
Encore $2,153 - $3,193 2016%
Phcs $2,440 2284%
Siho $2,512 2352%
Sagamore $2,583 2418%
Multiplan $2,619 2452%
Hfn $2,799 - $3,050 2621%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Grant St, Gary, IN 46402
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals