CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Ochsner University Hospital and Clinics

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $333
Cash Discount Price: $433
vs. Medicare Baseline: 1.86x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Ochsner University Hospital and Clinics is $333. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $433. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.86x the Medicare baseline. Located in 2390 West Congress, Lafayette, LA.

Cash / Self-Pay

$433

Average discount available for prompt cash payment at this facility.

Insurance Median

$333

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: $433 (242%)

Insurance Median: $333 (186%)

Cash: $433 (242% of Medicare)

Ins. Median: $333 (186% 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.

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
Aetna	$162 - $885	90%
Blue Cross Blue Shield	$162 - $494	90%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$162	90%
Medicare (plans)	$162	90%
Ochsner Health Plan	$162	90%
Tricare	$162	90%
UnitedHealthcare	$162 - $402	90%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$167	93%
Wellcare Of Louisiana	$170	95%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$333	186%
Healthy Blue (Healthy Louisiana)	$333	186%
Humana	$333	186%
Louisiana Healthcare Connections (Healthy Louisiana)	$333	186%
Zelis	$411	229%
Cigna	$537	300%
Verity Commercial And First Choice Network	$583	325%

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 $433.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner University Hospital and Clinics is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
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.