CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Memorial Hospital and Health Care Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $160
Cash Discount Price: $136
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Memorial Hospital and Health Care Center is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $136. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.89x the Medicare baseline. Located in 800 W 9Th St, Jasper, IN.

Cash / Self-Pay

$136

Average discount available for prompt cash payment at this facility.

Insurance Median

$160

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: $136 (76%)

Insurance Median: $160 (89%)

Cash: $136 (76% of Medicare)

Ins. Median: $160 (89% 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.

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	$47 - $332	26%
Aetna	$56 - $571	31%
Caresource In Marketplace	$56 - $233	31%
Humana	$56 - $186	31%
Mdwise	$56 - $163	31%
Mhs Hoosier Care Connect	$56 - $163	31%
Tricare	$56 - $160	31%
Chamber Care	$57	32%
UnitedHealthcare	$62 - $559	35%
Immergrun	$67 - $191	37%
Ambetter / Centene	$72 - $242	40%
Onecare	$72 - $207	40%
Siho	$72 - $207	40%
Noncontracted	$89 - $298	50%
Patoka Valley	$96 - $508	54%
Encore	$97 - $481	54%
Encore Elite +	$97 - $481	54%
Cigna	$197 - $571	110%
Sagamore	$197 - $571	110%

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 $136.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Memorial Hospital and Health Care Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.