CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Ochsner St Mary

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $162
Cash Discount Price: $221
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Ochsner St Mary is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $221. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.90x the Medicare baseline. Located in 1125 Marguerite Street, Morgan City, LA.

Cash / Self-Pay

$221

Average discount available for prompt cash payment at this facility.

Insurance Median

$162

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: $221 (123%)

Insurance Median: $162 (90%)

Cash: $221 (123% of Medicare)

Ins. Median: $162 (90% 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
Tricare	$69 - $173	39%
Healthy Blue (Healthy Louisiana)	$140	78%
Humana	$140 - $162	78%
Louisiana Healthcare Connections (Healthy Louisiana)	$140	78%
UnitedHealthcare	$140 - $410	78%
Aetna	$144 - $941	80%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$144	80%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$162	90%
Blue Cross Blue Shield	$162 - $412	90%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$162	90%
Medicare (plans)	$162	90%
Ochsner Health Plan	$162	90%
Zelis	$244	136%
Verity Commercial And First Choice Network	$596	333%
Claritev D/B/A Multiplan/Phcs/American Life Care	$640	357%
First Health Network	$739	412%
Healthcomp & Personify Health (Formerly Gilsbar)	$772	431%
Cigna	$1,485	829%

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 $221.
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 St Mary 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.