CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Terrebonne General Medical Center - Parish

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $366
  • Cash Discount Price: $1,471
  • vs. Medicare Baseline: 2.04x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Terrebonne General Medical Center - Parish is $366. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,471. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.04x the Medicare baseline. Located in 8166 Main Street, Houma, LA.
Cash / Self-Pay
$1,471

Average discount available for prompt cash payment at this facility.

Insurance Median
$366

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: $1,471 (821%)
Insurance Median: $366 (204%)
Cash: $1,471 (821% of Medicare)
Ins. Median: $366 (204% 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 204% of the Medicare baseline (a markup of 104%). 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
Champ Va $100 56%
Blue Cross Blue Shield $156 - $454 87%
Dept Of Veterans Affairs $156 87%
Humana $156 - $478 87%
Medicare (plans) $156 87%
UnitedHealthcare $156 - $1,987 87%
Tricare $159 89%
Amg $167 93%
Medicaid / KanCare $356 199%
Amerihealth $363 203%
Aetna $366 - $1,700 204%
Vantage Health Plan $397 222%
Ppoplus $452 252%
Gilsbar 360 $509 - $528 284%
Verity Health $1,133 632%
Multiplan Inc $1,292 721%
Cigna $1,333 744%
Coventry Health Of Louisiana $1,590 887%
Workers Comp $1,987 1109%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8166 Main Street, Houma, LA 70360
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals