CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Uofl Health - Shelbyville Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $909
Cash Discount Price: $971
vs. Medicare Baseline: 5.07x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Uofl Health - Shelbyville Hospital is $909. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $971. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.07x the Medicare baseline. Located in 727 Hospital Drive, Shelbyville, KY.

Cash / Self-Pay

$971

Average discount available for prompt cash payment at this facility.

Insurance Median

$909

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: $971 (542%)

Insurance Median: $909 (507%)

Cash: $971 (542% of Medicare)

Ins. Median: $909 (507% 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 507% of the Medicare baseline (a markup of 407%). 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
Humana	$153 - $430	85%
Senior Care Communty Of Ky	$161	90%
Blue Cross Blue Shield	$167 - $1,100	93%
Cigna	$167	93%
Essence Health	$167	93%
Va Ccn	$167	93%
Devoted	$169	94%
Signature	$172 - $1,278	96%
Communicare	$175	98%
Passport	$175 - $1,278	98%
Velocity	$201 - $2,505	112%
Key Benefit Administrators	$217	121%
Wellcare	$225 - $409	126%
UnitedHealthcare	$409 - $1,219	228%
Aetna	$430	240%
Prime Group Health	$909 - $2,173	507%
Encore	$1,534	856%
Multiplan	$1,687 - $2,300	941%
Omca	$2,428	1355%
Corvel	$2,556	1426%
Cshn	$2,556	1426%
Health Smart	$2,556	1426%
National Comp Care	$2,556	1426%

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 $971.
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 Uofl Health - Shelbyville 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.