CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Pulaski Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $137
Cash Discount Price: $1,203
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Pulaski Memorial Hospital is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,203. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.76x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.

Cash / Self-Pay

$1,203

Average discount available for prompt cash payment at this facility.

Insurance Median

$137

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: $1,203 (671%)

Insurance Median: $137 (76%)

Cash: $1,203 (671% of Medicare)

Ins. Median: $137 (76% 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	$47 - $2,592	26%
Ambetter / Centene	$50 - $1,017	28%
Blue Cross Blue Shield	$50 - $2,111	28%
Caresource Mcaid Hip	$50 - $1,017	28%
Caresource Mcare Hmo	$50 - $1,017	28%
Cenpatico Mcaid Hip	$50 - $1,017	28%
Humana	$50 - $2,638	28%
Mdwise Mcaid Hcc	$50 - $78	28%
Mdwise Mcaid Hhw	$50 - $78	28%
Mdwise Mcaid Hip - All Other Plans	$50 - $1,017	28%
Mhs Mcaid Hip	$50 - $1,017	28%
Mhs Mcare Allwell	$50 - $1,027	28%
Multiplan - All Plans	$50 - $2,953	28%
Caresource Exch Hmo Hix - All Other Plans	$62 - $1,271	35%
Encore Ppo - All Other Plans	$76 - $2,789	42%
Caresource Mcaid Hhw	$78 - $137	44%
Cenpatico Mcaid Hhw - All Other Plans	$78 - $137	44%
Mhs Mcaid Hhw/Hcc	$78 - $137	44%
Cigna	$86 - $3,117	48%
Sagamore - All Other Plans	$86 - $2,480	48%
Sagamore Rose Acre	$86 - $2,444	48%
Community Health Alliance - All Plans	$99 - $2,920	55%
Encore Workers Comp	$140 - $2,953	78%
Aetna	$1,181	659%

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 $1,203.
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 Pulaski 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.