CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Henry County Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $192
Cash Discount Price: $1,610
vs. Medicare Baseline: 1.07x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Henry County Memorial Hospital is $192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,610. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.07x the Medicare baseline. Located in 1000 N 16Th St, New Castle, IN.

Cash / Self-Pay

$1,610

Average discount available for prompt cash payment at this facility.

Insurance Median

$192

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: $1,610 (898%)

Insurance Median: $192 (107%)

Cash: $1,610 (898% of Medicare)

Ins. Median: $192 (107% 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.

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
UnitedHealthcare	$43 - $3,408	24%
Blue Cross Blue Shield	$50 - $3,204	28%
Caresource Hip	$50 - $188	28%
Humana	$50 - $3,684	28%
Caresource Mcr Adv	$51 - $192	28%
Aetna	$55 - $3,558	31%
Caresource Marketplace-All Other Plans	$67 - $358	37%
Caresource Just4Me	$75 - $470	42%
Caresource Mcaid	$81 - $141	45%
Encore Workers Comp-All Plans	$87 - $3,977	49%
Cigna	$207 - $2,847	116%
Health Alliance-All Plans	$352 - $3,558	196%
Workers Comp - All Plans	$373 - $3,768	208%

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 $1,610.
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 Henry County Memorial Hospital 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.