CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Terre Haute Regional Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $421
  • Cash Discount Price: $5,427
  • vs. Medicare Baseline: 2.35x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Terre Haute Regional Hospital is $421. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,427. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.35x the Medicare baseline. Located in 3901 S Seventh St, Terre Haute, IN.
Cash / Self-Pay
$5,427

Average discount available for prompt cash payment at this facility.

Insurance Median
$421

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: $5,427 (3028%)
Insurance Median: $421 (235%)
Cash: $5,427 (3028% of Medicare)
Ins. Median: $421 (235% 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 235% of the Medicare baseline (a markup of 135%). 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
Blue Cross Blue Shield $206 - $702 115%
Hospice Of Bloomington Hospital $378 211%
Caresource $386 215%
Mdwise Hoosier Alliance $390 218%
United $402 224%
Molina $416 232%
Aetna $3,075 1716%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 S Seventh St, Terre Haute, IN 47802
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals