CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Bluffton Regional Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,932
  • Cash Discount Price: $2,552
  • vs. Medicare Baseline: 10.78x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Bluffton Regional Medical Center is $1,932. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,552. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 10.78x the Medicare baseline. Located in 303 S Main St, Bluffton, IN.
Cash / Self-Pay
$2,552

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,932

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: $2,552 (1424%)
Insurance Median: $1,932 (1078%)
Cash: $2,552 (1424% of Medicare)
Ins. Median: $1,932 (1078% 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 1078% of the Medicare baseline (a markup of 978%). 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
UnitedHealthcare $164 - $3,023 92%
Veterans Eval Services $164 92%
Tricare $176 98%
Aetna $183 - $2,881 102%
Blue Cross Blue Shield $183 - $763 102%
Medicare (plans) $183 102%
Node Iu Health Mcr Adv $183 102%
Node Mhs Mcr Adv $183 102%
Department Of Veterans Affairs $186 104%
Humana $186 - $378 104%
Node Caresource Mcr Adv $186 104%
Node Devoted Health Mcr Adv $186 104%
Node Non Par Hospice Agree $186 104%
Node Va $186 104%
Northeast Hospice $186 104%
County Jail Health Care $193 108%
In Dept Of Correction $193 108%
Node Pphp Mcr Adv $195 109%
Us Department Of Labor $232 129%
Lutheran Advanced Network $278 155%
Lutheran Preferred Network $278 - $5,168 155%
Lutheran Three Rivers Preferred Plus 150 $278 155%
Lutheran Three Rivers Preferred Plus 175 $325 181%
Encore Work Comp In $334 186%
Prime Health Services $334 - $4,845 186%
Lutheran Northwest Health Preferred $371 207%
Managed Health Services Exchange $371 207%
Workers Compensation $371 207%
Caresource $378 211%
Medicaid / KanCare $378 211%
Mhs $378 211%
Mhs In Hip $378 211%
Encore Kba Epo $445 248%
Physicians Health Plan $487 272%
Php Freedom Network $502 280%
Php $551 307%
Encore Kba Ppo $557 311%
Sagamore Health Newtork Inc $739 - $3,463 412%
Amish Aid $1,550 865%
Self Pay $1,550 - $3,553 865%
Cigna $2,048 - $2,287 1143%
Php Management Systems $2,501 1396%
Lutheran Trma $2,584 - $2,907 1442%
Encore Ppo $3,159 1763%
Sagamore Sebt $3,301 1842%
Consumer Life $4,005 2235%
Ahg Dana Employees $4,199 2343%
Align Networks $4,522 2523%
Private Healthcare Systems Inc $4,845 2704%
Multiplan $5,168 2884%
Encore Health Network $5,297 - $5,814 2956%
Advantage 360 $5,362 2992%
Community Health Alliance $5,491 3064%
First Health $5,556 3100%
Allied Benefit Systems $5,814 3244%
Cardinal Health Alliance $5,814 3244%
Ppom $5,814 3244%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 S Main St, Bluffton, IN 46714
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals