CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Uofl Health - Shelbyville Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $752
  • Cash Discount Price: $804
  • vs. Medicare Baseline: 7.04x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Uofl Health - Shelbyville Hospital is $752. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $804. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.04x the Medicare baseline. Located in 727 Hospital Drive, Shelbyville, KY.
Cash / Self-Pay
$804

Average discount available for prompt cash payment at this facility.

Insurance Median
$752

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $804 (753%)
Insurance Median: $752 (704%)
Cash: $804 (753% of Medicare)
Ins. Median: $752 (704% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 704% of the Medicare baseline (a markup of 604%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Humana $91 - $356 85%
Senior Care Communty Of Ky $96 90%
Blue Cross Blue Shield $100 - $910 94%
Cigna $100 94%
Essence Health $100 94%
Va Ccn $100 94%
Devoted $101 95%
Signature $103 - $1,058 96%
Communicare $105 98%
Passport $105 - $1,058 98%
Velocity $120 - $2,073 112%
Key Benefit Administrators $130 122%
Wellcare $135 - $338 126%
UnitedHealthcare $338 - $1,009 316%
Aetna $356 333%
Prime Group Health $752 - $1,798 704%
Encore $1,269 1188%
Multiplan $1,396 - $1,904 1307%
Omca $2,009 1881%
Corvel $2,115 1980%
Cshn $2,115 1980%
Health Smart $2,115 1980%
National Comp Care $2,115 1980%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 727 Hospital Drive, Shelbyville, KY 40065
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals