CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Franciscan Health Michigan City

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,916
Cash Discount Price: $746
vs. Medicare Baseline: 10.69x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Franciscan Health Michigan City is $1,916. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $746. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 10.69x the Medicare baseline. Located in 3500 Franciscan Way, Michigan City, IN.

Cash / Self-Pay

$746

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,916

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: $746 (416%)

Insurance Median: $1,916 (1069%)

Cash: $746 (416% of Medicare)

Ins. Median: $1,916 (1069% 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 1069% of the Medicare baseline (a markup of 969%). 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
Medicare (plans)	$186	104%
Blue Cross Blue Shield	$245 - $1,793	137%
Unicare [1150]	$245 - $640	137%
Mdwise [1175]	$306	171%
Medicaid / KanCare	$306 - $367	171%
Managed Health Services [1302]	$315	176%
Workers Comp [1172]	$371	207%
Aetna	$410	229%
Managed Care [2000]	$410 - $3,227	229%
Commercial [2001]	$812 - $3,586	453%
Cigna	$850 - $2,510	474%
United Medical Resources [1158]	$1,916	1069%
United Medical Resources [1301]	$1,916 - $2,109	1069%
UnitedHealthcare	$1,916 - $2,109	1069%
Great West Insurance [1055]	$2,166	1209%

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 $746.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Franciscan Health Michigan City is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
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.