CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Ochsner Medical Center Acute

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $485
  • Cash Discount Price: $406
  • vs. Medicare Baseline: 2.71x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Ochsner Medical Center Acute is $485. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $406. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.71x the Medicare baseline. Located in 1516 Jefferson Hwy, New Orleans, LA.
Cash / Self-Pay
$406

Average discount available for prompt cash payment at this facility.

Insurance Median
$485

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: $406 (227%)
Insurance Median: $485 (271%)
Cash: $406 (227% of Medicare)
Ins. Median: $485 (271% 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 271% of the Medicare baseline (a markup of 171%). 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
Tricare $64 - $163 36%
Medicaid / KanCare $136 - $143 76%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $163 91%
Blue Cross Blue Shield $163 - $688 91%
Healthy Blue Dual Advantage (Hmo-D-Snp) $163 91%
Humana $163 - $248 91%
Medicare (plans) $163 91%
Ochsner Health Plan $163 91%
UnitedHealthcare $163 - $402 91%
Pace New Orleans $180 100%
Healthy Blue (Healthy Louisiana) $253 141%
Louisiana Healthcare Connections (Healthy Louisiana) $253 141%
Aetna $256 - $1,799 143%
Amerihealth Caritas Louisiana (Healthy Louisiana) $256 143%
Christus Health Exchange Plan $390 218%
Zelis $983 549%
First Health Network $1,232 688%
Louisiana Workers' Compensation Corporation (Lwcc) $1,232 688%
Mississippi Physicians Care Network $1,232 688%
Healthcomp & Personify Health (Formerly Gilsbar) $1,297 724%
Claritev D/B/A Multiplan/Phcs/American Life Care $1,314 733%
Cigna $1,372 766%
Employers Health Network (Ehn) $1,396 779%
Prime Health Services Ppo $1,396 779%
Usa Managed Care Network $1,396 779%
Behavioral Health Systems $1,478 825%
Evolutions Healthcare $1,478 825%
Galaxy Health Network Ppo $1,478 825%
Galaxy Health Network Wc $1,478 825%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1516 Jefferson Hwy, New Orleans, LA 70121
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals