CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Elkhart General Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,462
Cash Discount Price: $1,584
vs. Medicare Baseline: 8.16x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Elkhart General Hospital is $1,462. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,584. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 8.16x the Medicare baseline. Located in 600 E Blvd, Elkhart, IN.

Cash / Self-Pay

$1,584

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,462

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: $1,584 (884%)

Insurance Median: $1,462 (816%)

Cash: $1,584 (884% of Medicare)

Ins. Median: $1,462 (816% 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 816% of the Medicare baseline (a markup of 716%). 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
Mclaren (Mi	$100	56%
UnitedHealthcare	$100 - $1,638	56%
Aetna	$186 - $1,650	104%
Blue Cross Blue Shield	$186 - $600	104%
Humana	$186 - $1,706	104%
Pace	$186	104%
Devoted Healthcare	$196 - $487	109%
Plain Church	$280 - $1,950	156%
Caresource	$298 - $3,168	166%
Mhs	$336 - $3,168	188%
Mdwise	$378 - $3,168	211%
Cha	$1,462 - $1,901	816%
Immergrun	$1,462 - $1,950	816%
Php	$1,584 - $1,706	884%
Cigna	$1,755 - $1,852	979%
Multiplan	$1,755	979%
Signature	$1,779	993%
Encore	$1,803	1006%
Heartland	$2,437	1360%

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 $1,584.
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 Elkhart General Hospital 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.