CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Decatur County Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $790
Cash Discount Price: $1,170
vs. Medicare Baseline: 4.41x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Decatur County Memorial Hospital is $790. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,170. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.41x the Medicare baseline. Located in 720 North Lincoln Street, Greensburg, IN.

Cash / Self-Pay

$1,170

Average discount available for prompt cash payment at this facility.

Insurance Median

$790

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: $1,170 (653%)

Insurance Median: $790 (441%)

Cash: $1,170 (653% of Medicare)

Ins. Median: $790 (441% 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 441% of the Medicare baseline (a markup of 341%). 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
UnitedHealthcare	$30 - $1,397	17%
Aetna	$56 - $980	31%
Blue Cross Blue Shield	$56 - $1,592	31%
Caresource Mcr Adv	$56 - $830	31%
Choice Care Mcr Adv	$56 - $790	31%
Choicecare Commercial-All Other Plans	$56 - $2,534	31%
Encircle-All Plans	$56 - $1,397	31%
Siho Mcr Adv	$56 - $790	31%
Thcg/Encore-All Plans	$56 - $2,562	31%
Caresource Just4Me-All Other Plans	$65 - $1,343	36%
Cigna	$69 - $1,200	39%
Medicaid / KanCare	$97 - $160	54%
Siho-All Other Plans	$276 - $2,643	154%
Sagamore Health-All Plans	$316 - $2,180	176%
Healthsource Indiana-All Plans	$356 - $2,452	199%

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 $1,170.
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 Decatur 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.