CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Lutheran Hospital of Indiana

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $622
  • Cash Discount Price: $684
  • vs. Medicare Baseline: 3.47x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Lutheran Hospital of Indiana is $622. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $684. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.47x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$684

Average discount available for prompt cash payment at this facility.

Insurance Median
$622

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: $684 (382%)
Insurance Median: $622 (347%)
Cash: $684 (382% of Medicare)
Ins. Median: $622 (347% 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 347% of the Medicare baseline (a markup of 247%). 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
Ky Work Comp $44 - $1,047 25%
Amish Aid $52 - $1,247 29%
Lutheran Preferred Network $52 - $2,494 29%
Self Pay $52 - $1,496 29%
Cigna $56 - $1,509 31%
Blue Cross Blue Shield $65 - $1,542 36%
Physicians Health Plan Of Northern Indiana $69 - $1,641 39%
Aetna $70 - $1,978 39%
Lutheran Preferred $70 - $1,662 39%
Sagamore $80 - $1,999 45%
Lutheran Network $87 - $2,078 49%
Multiplan $127 - $3,449 71%
Prime Health Services $131 - $3,117 73%
Encore Health Network $143 - $3,740 80%
Advantage Health Solutions $145 - $3,449 81%
Allied Benefit Systems $157 - $3,740 88%
Evolutions $157 - $3,740 88%
UnitedHealthcare $164 - $1,529 92%
Veterans Eval Services $164 92%
Php Freedom Network $174 - $533 97%
Tricare $176 98%
Humana $183 - $378 102%
Iu Health Plan $183 102%
Managed Health Services $183 - $378 102%
Medicare (plans) $183 102%
Department Of Veterans Affairs $186 104%
Node Devoted Health Mcr Adv $186 104%
Node Hospice Non Par Agree $186 104%
Node Va $186 104%
In Dept Of Correction $193 108%
Node Pphp Mcr Adv $195 109%
Us Department Of Labor $232 129%
Lutheran Advanced Network $278 155%
Node Lutheran Network $278 - $325 155%
Node Lutheran Preferred Fixed 2 $278 155%
Align Network $297 166%
Encore Work Comp In $334 186%
Care Source $378 211%
Medicaid / KanCare $378 211%
One Call Care Diagnostics $400 223%
Spreemo $430 240%
Node Encore Kba Epo $445 248%
Node Encore Kba Ppo $557 311%
Encore Ppo $816 455%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals