CMS Price Transparency Data

CT scan, head (with contrast)

Facility: The Women's Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $153
  • Cash Discount Price: $252
  • vs. Medicare Baseline: 0.85x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at The Women's Hospital is $153. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $252. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.85x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$252

Average discount available for prompt cash payment at this facility.

Insurance Median
$153

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: $252 (141%)
Insurance Median: $153 (85%)
Cash: $252 (141% of Medicare)
Ins. Median: $153 (85% 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.

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
Chamber Care $50 28%
Immergrun $60 33%
Amish $66 - $252 37%
Blue Cross Blue Shield $78 - $600 44%
Caresource Hip $78 - $90 44%
Caresource In $78 - $90 44%
Mdwise Hip $78 - $90 44%
Mhs Behavioral $78 - $90 44%
UnitedHealthcare $78 - $164 44%
Encorecombined $79 - $220 44%
Encoreprime $79 - $220 44%
Caresource $87 - $164 49%
Humana $87 - $164 49%
Iu Health $87 - $164 49%
Meridian Health Il $87 - $164 49%
Mhs $87 - $164 49%
Molina Il $87 - $164 49%
Molina Ky $87 - $164 49%
Molina Ky Dual $87 - $164 49%
Patoka Valley Health Care (80/20 Plan) $87 - $432 49%
Patoka Valley Health Care (90/10 Plan) $87 - $432 49%
Wellcare Ky $87 - $164 49%
Aetna $89 - $504 50%
Ambetter / Centene $100 - $254 56%
Caresource Marketplace (Just4Me) $113 - $246 63%
One Care $113 63%
Hst $118 - $246 66%
Alliance Coal $120 - $432 67%
Allied National/Zelis - Freedom Plan $122 - $432 68%
Claimdoc $126 - $490 70%
Hope Trust $139 - $270 78%
Noncontracted $139 - $262 78%
Passport Molina Ky $153 85%
Self Pay $252 141%
Cigna $302 - $432 169%
Claritev (Formerly Phcs/Mulitplan) $302 - $504 169%
First Health/Coventry $302 - $504 169%
Healthlink $302 - $504 169%
Sagamore $302 - $432 169%
Center Care $432 241%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals