CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,607
Cash Discount Price: $1,223
vs. Medicare Baseline: 8.97x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Cameron Memorial Community Hospital Inc is $1,607. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,223. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 8.97x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.

Cash / Self-Pay

$1,223

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,607

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: $1,223 (682%)

Insurance Median: $1,607 (897%)

Cash: $1,223 (682% of Medicare)

Ins. Median: $1,607 (897% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 897% of the Medicare baseline (a markup of 797%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$78 - $1,275	44%
Caresource Indiana Of In	$78 - $750	44%
Managed Health Services	$78	44%
Mdwise	$78	44%
Aetna	$652 - $1,762	364%
Humana	$652 - $1,761	364%
UnitedHealthcare	$652 - $1,607	364%
Plain Church Group Ministry	$795	444%
Centivo	$1,109	619%
Lucent	$1,109	619%
Phcs	$1,529	853%
Php	$1,546	863%
Sagamore Health Network	$1,574	878%
Signature Care	$1,692 - $1,794	944%
Three Rivers Preferred	$1,733	967%
Cigna	$1,760	982%
Coventry	$1,794	1001%
Lutheran Preferred	$1,835	1024%
Frontpath	$1,876	1047%
Encore	$1,877	1047%
Corvel	$1,896	1058%

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 $1,223.
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 Cameron Memorial Community Hospital Inc 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.