CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Rockcastle County Hospital, Inc.

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $262
  • Cash Discount Price: $1,596
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Rockcastle County Hospital, Inc. is $262. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,596. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.46x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.
Cash / Self-Pay
$1,596

Average discount available for prompt cash payment at this facility.

Insurance Median
$262

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: $1,596 (891%)
Insurance Median: $262 (146%)
Cash: $1,596 (891% of Medicare)
Ins. Median: $262 (146% 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 $202 113%
Coventry Mcaid-All Plans $202 113%
Medicaid / KanCare $202 113%
Molina Mcaid $202 113%
UnitedHealthcare $202 - $350 113%
Multiplan-All Plans $1,785 996%
Prime Health Services-All Plans $1,785 996%
Integrated Hp-All Plans $1,869 1043%
Corvel - All Plans $1,890 1055%
Center Care-All Plans $1,995 1113%
Cigna $2,037 1137%

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