CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Rockcastle County Hospital, Inc.

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $284
  • Cash Discount Price: $1,930
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Rockcastle County Hospital, Inc. is $284. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,930. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.58x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.
Cash / Self-Pay
$1,930

Average discount available for prompt cash payment at this facility.

Insurance Median
$284

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: $1,930 (1077%)
Insurance Median: $284 (158%)
Cash: $1,930 (1077% of Medicare)
Ins. Median: $284 (158% 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.

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
Tricare $123 69%
Blue Cross Blue Shield $165 - $847 92%
Caresource Mcr Adv-All Other Plans $165 92%
Humana $165 - $322 92%
Molina Marketplace - All Other Plans $165 92%
Molina Mcr Adv $165 92%
Signature Mcr Adv-All Plans $165 92%
Wellcare Mcr Adv-All Other Plans $165 92%
Passport Hp Hmo - All Plans $200 112%
Caresource Mcaid $246 137%
Coventry Mcaid-All Plans $246 137%
Medicaid / KanCare $246 137%
Molina Mcaid $246 137%
UnitedHealthcare $246 - $350 137%
Multiplan-All Plans $2,159 1205%
Prime Health Services-All Plans $2,159 1205%
Integrated Hp-All Plans $2,261 1262%
Corvel - All Plans $2,286 1276%
Center Care-All Plans $2,413 1347%
Cigna $2,464 1375%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 145 Newcomb Avenue, Mount Vernon, KY 40456
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals