CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: St Joseph Health System, LLC

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $334
  • Cash Discount Price: $723
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at St Joseph Health System, LLC is $334. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $723. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.86x the Medicare baseline. Located in 702 Van Buren St., Fort Wayne, IN.
Cash / Self-Pay
$723

Average discount available for prompt cash payment at this facility.

Insurance Median
$334

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: $723 (403%)
Insurance Median: $334 (186%)
Cash: $723 (403% of Medicare)
Ins. Median: $334 (186% 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.

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
Amish Aid $42 - $1,349 23%
Self Pay $42 - $3,092 23%
Lutheran Preferred $50 - $3,373 28%
Cigna $56 - $5,622 31%
Blue Cross Blue Shield $63 - $2,039 35%
Php $70 - $2,247 39%
Lutheran Network $79 - $3,092 44%
Three Rivers $79 - $2,530 44%
Aetna $80 - $3,823 45%
Multiplan $120 - $4,385 67%
First Health $131 - $4,216 73%
Prime Health Services $131 - $4,216 73%
Align Network $140 - $4,498 78%
Frontpath Health Coalition $140 - $4,498 78%
Encore Ppo $143 - $5,060 80%
Advantage Health Solutions $145 - $4,666 81%
Allied Benefit Systems $157 - $5,060 88%
UnitedHealthcare $164 - $1,529 92%
Veterans Eval Services $164 92%
Medical Mutual Of Ohio $174 - $5,622 97%
Parkview Healthplan Services $174 - $5,622 97%
Php Freedom Network $174 - $502 97%
Value Options $174 - $5,622 97%
Tricare $176 98%
Humana $183 - $378 102%
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%
Encore Work Comp In $334 186%
Work Comp $371 207%
Caresource $378 211%
Medicaid / KanCare $378 211%
Spreemo $430 240%
Encore Kba Epo $445 248%
Encore Kba Ppo $557 311%
Sagamore $739 412%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 702 Van Buren St., Fort Wayne, IN 46802
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals