CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Norton-King's Daughters' Health

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $811
  • Cash Discount Price: $403
  • vs. Medicare Baseline: 4.53x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Norton-King's Daughters' Health is $811. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $403. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.53x the Medicare baseline. Located in 1373 East Sr 62, Madison, IN.
Cash / Self-Pay
$403

Average discount available for prompt cash payment at this facility.

Insurance Median
$811

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: $403 (225%)
Insurance Median: $811 (453%)
Cash: $403 (225% of Medicare)
Ins. Median: $811 (453% 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 453% of the Medicare baseline (a markup of 353%). 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
Aetna $54 - $1,284 30%
Blue Cross Blue Shield $90 - $811 50%
Humana $90 - $186 50%
Managed Health Services Of Kentucky $90 50%
Passport By Molina $90 50%
Managed Health Services Of Indiana $97 54%
UnitedHealthcare $97 - $1,440 54%
Managed Health Services $192 - $289 107%
Caresource Of Kentucky $261 146%
Caresource Of Indiana $280 156%
Custom Design Benefits $373 - $917 208%
Cigna $1,559 870%
Encore $1,559 870%
Quality Care Partners $1,632 911%
Bluegrass $1,651 921%
First Health $1,651 921%
Healthlink $1,651 921%
Vha/Tristate $1,651 921%
Multiplan/Phcs $1,687 941%
Indiana Health Network $1,742 972%
Siho $1,742 972%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1373 East Sr 62, Madison, IN 47250
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals