CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Kosciusko Community Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,262
  • Cash Discount Price: $1,052
  • vs. Medicare Baseline: 11.82x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Kosciusko Community Hospital is $1,262. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,052. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.82x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$1,052

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,262

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,052 (985%)
Insurance Median: $1,262 (1182%)
Cash: $1,052 (985% of Medicare)
Ins. Median: $1,262 (1182% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1182% of the Medicare baseline (a markup of 1082%). 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
Veterans Eval Services $98 92%
Tricare $105 98%
UnitedHealthcare $105 - $2,338 98%
Department Of Veterans Affairs $111 104%
Aetna $117 - $2,468 110%
Blue Cross Blue Shield $117 - $455 110%
Humana $117 - $221 110%
Medicare (plans) $117 110%
Mhs $117 - $221 110%
Iu Health $118 110%
Node Non Par Hospice Agree $118 110%
Node Va $118 110%
Node Devoted Health Mcr Adv $119 111%
In Dept Of Correction $123 115%
Node Pphp Mcr Adv $124 116%
Us Department Of Labor $148 139%
Caresource $170 - $221 159%
Lutheran Advanced Network $178 167%
Lutheran Preferred $178 - $237 167%
Align In Work Comp $190 178%
One Call Work Comp $190 178%
Encore Work Comp In $213 199%
Prime Health Services $213 - $3,479 199%
Managed Health Services $221 207%
Medicaid / KanCare $221 207%
Managed Health Services Exchange $237 222%
Workers Comp $237 222%
Encore Kba Epo $284 266%
One Call Care Diagnostics Wc $300 281%
Encore Kba Ppo $355 332%
Amish Aid $608 - $974 569%
Self Pay $608 - $1,809 569%
Trma Inc $641 - $675 600%
Lutheran Preferred Network $675 - $3,711 632%
Physicians Health Plan $1,069 - $2,138 1001%
Php Freedom Network $1,118 - $1,792 1047%
Encore $1,158 - $1,856 1084%
Connecticut General Life Insurance Company $1,706 - $2,732 1597%
Cigna $1,830 - $2,932 1713%
First Health Network $2,172 - $3,479 2034%
Advantage Health $2,404 - $3,850 2251%
Private Healthcare Systems $2,491 - $3,990 2332%
Sagamore $2,548 - $4,361 2386%
Encore Health Network $2,693 - $4,314 2521%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals