CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Witham Health Services

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $2,251
Cash Discount Price: $2,287
vs. Medicare Baseline: 12.56x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Witham Health Services is $2,251. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,287. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 12.56x the Medicare baseline. Located in 2605 N Lebanon St, Lebanon, IN.

Cash / Self-Pay

$2,287

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,251

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: $2,287 (1276%)

Insurance Median: $2,251 (1256%)

Cash: $2,287 (1276% of Medicare)

Ins. Median: $2,251 (1256% 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 1256% of the Medicare baseline (a markup of 1156%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$78 - $2,573	44%
Mdwise Health In-All Plans	$186	104%
Caresource Mcr Adv	$189	105%
Aetna	$191 - $2,418	107%
Caresource Indiana Marketplace-All Other Plans	$353	197%
UnitedHealthcare	$2,549	1422%
Phcs/Multiplan-All Plans	$2,974	1660%
Sagamore-All Plans	$3,006	1677%
Humana	$3,039	1696%
Beech Street-All Plans	$3,072	1714%
Encore-All Plans	$3,104	1732%
Mhs Comml Exch-All Plans	$8,169	4559%

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 $2,287.
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 Witham Health Services 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.