CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Pulaski Memorial Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $98
Cash Discount Price: $936
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Pulaski Memorial Hospital is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $936. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.92x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.

Cash / Self-Pay

$936

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

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $936 (876%)

Insurance Median: $98 (92%)

Cash: $936 (876% of Medicare)

Ins. Median: $98 (92% 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.

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	$36 - $2,021	34%
Ambetter / Centene	$38 - $793	36%
Blue Cross Blue Shield	$38 - $1,646	36%
Caresource Mcaid Hip	$38 - $793	36%
Caresource Mcare Hmo	$38 - $793	36%
Cenpatico Mcaid Hip	$38 - $793	36%
Humana	$38 - $2,057	36%
Mdwise Mcaid Hcc	$38 - $57	36%
Mdwise Mcaid Hhw	$38 - $57	36%
Mdwise Mcaid Hip - All Other Plans	$38 - $793	36%
Mhs Mcaid Hip	$38 - $793	36%
Mhs Mcare Allwell	$38 - $801	36%
Multiplan - All Plans	$38 - $2,302	36%
Caresource Exch Hmo Hix - All Other Plans	$47 - $991	44%
Caresource Mcaid Hhw	$57 - $98	53%
Cenpatico Mcaid Hhw - All Other Plans	$57 - $98	53%
Encore Ppo - All Other Plans	$57 - $2,174	53%
Mhs Mcaid Hhw/Hcc	$57 - $98	53%
Cigna	$59 - $2,430	55%
Sagamore - All Other Plans	$59 - $1,934	55%
Sagamore Rose Acre	$59 - $1,906	55%
Community Health Alliance - All Plans	$74 - $2,277	69%
Encore Workers Comp	$106 - $2,302	99%
Aetna	$921	862%

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 $936.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Pulaski Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.