CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Methodist Hospitals Inc

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $512
Cash Discount Price: $3,452
vs. Medicare Baseline: 2.86x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Methodist Hospitals Inc is $512. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,452. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.86x the Medicare baseline. Located in 600 Grant St, Gary, IN.

Cash / Self-Pay

$3,452

Average discount available for prompt cash payment at this facility.

Insurance Median

$512

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: $3,452 (1926%)

Insurance Median: $512 (286%)

Cash: $3,452 (1926% of Medicare)

Ins. Median: $512 (286% 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 286% of the Medicare baseline (a markup of 186%). 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
Aetna	$185 - $3,649	103%
Blue Cross Blue Shield	$185 - $5,009	103%
Humana	$185 - $378	103%
Medicare (plans)	$185	103%
United Heathcare	$185	103%
Zing	$188	105%
Caresource Maketplace	$305	170%
Ambetter / Centene	$369	206%
Caresource	$378	211%
Managed Health Services	$378	211%
Medicaid / KanCare	$378	211%
UnitedHealthcare	$378 - $572	211%
Physicians Health Plan Of Northern Indiana	$554	309%
Magnacare	$878	490%
Cigna	$1,894 - $2,056	1057%
Encore	$2,959 - $4,389	1651%
Phcs	$3,353	1871%
Siho	$3,452	1926%
Sagamore	$3,550	1981%
Multiplan	$3,600	2009%
Hfn	$3,846 - $4,191	2146%

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 $3,452.
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 Methodist Hospitals Inc 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.