CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Pulaski Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $160
Cash Discount Price: $1,410
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Pulaski Memorial Hospital is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,410. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.89x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.

Cash / Self-Pay

$1,410

Average discount available for prompt cash payment at this facility.

Insurance Median

$160

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: $1,410 (787%)

Insurance Median: $160 (89%)

Cash: $1,410 (787% of Medicare)

Ins. Median: $160 (89% 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	$53 - $3,044	30%
Ambetter / Centene	$56 - $1,195	31%
Blue Cross Blue Shield	$56 - $2,479	31%
Caresource Mcaid Hip	$56 - $1,195	31%
Caresource Mcare Hmo	$56 - $1,195	31%
Cenpatico Mcaid Hip	$56 - $1,195	31%
Humana	$56 - $3,098	31%
Mdwise Mcaid Hcc	$56 - $97	31%
Mdwise Mcaid Hhw	$56 - $97	31%
Mdwise Mcaid Hip - All Other Plans	$56 - $1,195	31%
Mhs Mcaid Hip	$56 - $1,195	31%
Mhs Mcare Allwell	$56 - $1,206	31%
Multiplan - All Plans	$56 - $3,468	31%
Caresource Exch Hmo Hix - All Other Plans	$70 - $1,493	39%
Encore Ppo - All Other Plans	$85 - $3,275	47%
Caresource Mcaid Hhw	$97 - $160	54%
Cenpatico Mcaid Hhw - All Other Plans	$97 - $160	54%
Cigna	$97 - $3,661	54%
Mhs Mcaid Hhw/Hcc	$97 - $160	54%
Sagamore - All Other Plans	$97 - $2,913	54%
Sagamore Rose Acre	$97 - $2,871	54%
Community Health Alliance - All Plans	$110 - $3,429	61%
Encore Workers Comp	$158 - $3,468	88%
Aetna	$1,387	774%

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 $1,410.
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 Pulaski 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.