CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: St Vincent Heart Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $111
  • Cash Discount Price: $542
  • vs. Medicare Baseline: 0.62x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at St Vincent Heart Center is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $542. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.62x the Medicare baseline. Located in 10580 N Meridian St, Carmel, IN.
Cash / Self-Pay
$542

Average discount available for prompt cash payment at this facility.

Insurance Median
$111

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: $542 (302%)
Insurance Median: $111 (62%)
Cash: $542 (302% of Medicare)
Ins. Median: $111 (62% 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
UnitedHealthcare $43 - $310 24%
Blue Cross Blue Shield $46 - $603 26%
Medicaid / KanCare $46 - $140 26%
Mhs Care Connect $46 - $140 26%
Aetna $111 - $650 62%
Ambetter / Centene $111 62%
Ascension Complete Mcr $111 62%
Caresource Marketplace $111 62%
Corizon $111 62%
Humana $111 62%
Immergrun $111 62%
Medicare (plans) $111 62%
Personalized Care $111 62%
Secure Horizons-Pacificare $111 62%
Encore Exclusive $250 140%
Patoka Valley Tier 1 $250 140%
Patoka Valley Tier 2 $250 140%
Smarthealth Ppo $260 145%
Smarthealth Ppo/Hdhp 20161001 $260 145%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10580 N Meridian St, Carmel, IN 46290
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals