CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Rush Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $78
Cash Discount Price: $1,641
vs. Medicare Baseline: 0.44x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Rush Memorial Hospital is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,641. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.44x the Medicare baseline. Located in 1300 N Main St, Rushville, IN.

Cash / Self-Pay

$1,641

Average discount available for prompt cash payment at this facility.

Insurance Median

$78

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: $1,641 (916%)

Insurance Median: $78 (44%)

Cash: $1,641 (916% of Medicare)

Ins. Median: $78 (44% 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	$43 - $50	24%
Aetna	$50 - $55	28%
Caresource Mcr Adv	$50	28%
Humana	$50	28%
Blue Cross Blue Shield	$51 - $274	28%
Today'S Option Mcr Adv-All Plans	$51	28%
Viant Beech St Mcr Adv	$51	28%
My True Advantage - All Plans	$52	29%
Consumers Life Ins-All Plans	$55	31%
Caresource Marketplace-All Other Plans	$67	37%
Multiplan-All Plans	$69	39%
Encore Health Services-All Plans	$87	49%
Siho-All Plans	$87	49%
Phcs-All Plans	$105	59%
Cigna	$174 - $2,014	97%
Health Net	$174 - $2,014	97%
Coventry/First Health-All Plans	$243 - $2,820	136%

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 $1,641.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

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 70460.
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.