CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Perry County Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,443
Cash Discount Price: $1,719
vs. Medicare Baseline: 8.05x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Perry County Memorial Hospital is $1,443. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,719. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 8.05x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$1,719

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,443

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: $1,719 (959%)

Insurance Median: $1,443 (805%)

Cash: $1,719 (959% of Medicare)

Ins. Median: $1,443 (805% 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 805% of the Medicare baseline (a markup of 705%). 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
Medicaid / KanCare	$378 - $2,455	211%
Veterans Administration	$614 - $2,455	343%
Bc 130	$638 - $1,962	356%
Group Insurance	$638 - $2,455	356%
Medicare (plans)	$638	356%
Workers Compensation	$1,228	685%
Nsa	$1,443 - $1,515	805%
Guarantor Liable	$1,718 - $2,455	959%
Pcmh Insurnace	$1,915 - $2,455	1069%
Secondary Insurance	$1,962	1095%
UnitedHealthcare	$1,962	1095%
Operating Engineers	$2,087	1165%
Boilermakers Healthcare	$2,136	1192%
Cigna	$2,136	1192%
Great West	$2,136 - $2,455	1192%
Sagxxxx	$2,136	1192%
Champus	$2,455	1370%
Ngs American, Inc	$2,455	1370%
Patoka Valley	$2,455	1370%
Southwire	$2,455	1370%
Tricare	$2,455	1370%
Wausau Benefits	$2,455	1370%

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 $1,719.
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 Perry County 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.