CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Rush Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $98
Cash Discount Price: $731
vs. Medicare Baseline: 0.55x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Rush Memorial Hospital is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $731. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.55x the Medicare baseline. Located in 1300 N Main St, Rushville, IN.

Cash / Self-Pay

$731

Average discount available for prompt cash payment at this facility.

Insurance Median

$98

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: $731 (408%)

Insurance Median: $98 (55%)

Cash: $731 (408% of Medicare)

Ins. Median: $98 (55% 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
UnitedHealthcare	$49 - $56	27%
Caresource Mcr Adv	$56	31%
Humana	$56 - $57	31%
Aetna	$57 - $61	32%
Blue Cross Blue Shield	$58 - $332	32%
Today'S Option Mcr Adv-All Plans	$58	32%
Viant Beech St Mcr Adv	$58	32%
My True Advantage - All Plans	$59	33%
Consumers Life Ins-All Plans	$61	34%
Caresource Marketplace-All Other Plans	$76	42%
Multiplan-All Plans	$78	44%
Encore Health Services-All Plans	$98	55%
Siho-All Plans	$98	55%
Phcs-All Plans	$120	67%
Cigna	$196 - $888	109%
Health Net	$196 - $888	109%
Coventry/First Health-All Plans	$275 - $1,243	153%

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 $731.
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 Rush Memorial Hospital 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.