CMS Price Transparency Data
CT scan, head (with and without contrast)
Facility: Avoyelles Hospital
Billing Code: 70470 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70470
- Insurance Median: $3,675
- Cash Discount Price: $1,225
- vs. Medicare Baseline: 20.51x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Avoyelles Hospital is $3,675. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,225. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 20.51x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$1,225
Average discount available for prompt cash payment at this facility.
Insurance Median
$3,675
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: $1,225 (684%)
Insurance Median: $3,675 (2051%)
Cash: $1,225 (684% of Medicare)
Ins. Median: $3,675 (2051% 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 2051% of the Medicare baseline (a markup of 1951%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $285 | 159% |
| Ofc Of Grp Bene | $285 | 159% |
| Aetna | $336 - $2,295 | 188% |
| Amer Contl Ins | $336 - $2,295 | 188% |
| Coventry | $336 - $2,295 | 188% |
| First Choice Health | $336 - $2,295 | 188% |
| Meritan Health | $336 - $4,083 | 188% |
| Cigna | $849 - $2,303 | 474% |
| Correct Cr Int Hlt | $849 | 474% |
| Mcd Amerihealth Caritas | $849 | 474% |
| Mcd Healthy Blue | $849 | 474% |
| Mcd La Hc Conn | $849 | 474% |
| Medicaid / KanCare | $849 | 474% |
| UnitedHealthcare | $849 | 474% |
| Mcd Ms | $934 | 521% |
| Student Assurances | $1,225 - $4,083 | 684% |
| Humana | $1,470 - $2,315 | 820% |
| Ppo Plus Llc | $2,450 | 1367% |
| Zelis Healthcare Bpa | $2,450 | 1367% |
| Gilsbar | $2,572 | 1435% |
| Amerind | $3,675 | 2051% |
| Applied Underwriters | $3,675 | 2051% |
| Sedgwick | $3,675 | 2051% |
| Us Dept Of Labor | $3,675 | 2051% |
| Wc Clms Admin Svcs | $3,675 | 2051% |
| Wc Clms Mgmnt Walmart | $3,675 | 2051% |
| Wc Esis | $3,675 | 2051% |
| Wc Fara | $3,675 | 2051% |
| Wc Gallagher Bassett | $3,675 | 2051% |
| Wc Guide One | $3,675 | 2051% |
| Wc Hartford Med | $3,675 | 2051% |
| Wc Luba | $3,675 | 2051% |
| Wc Lwcc | $3,675 | 2051% |
| Wc Paragon Casino Resort | $3,675 | 2051% |
| Wc Risk Mgmnt | $3,675 | 2051% |
| Wc Stone Trust | $3,675 | 2051% |
| Wc Summit Consulting Hold | $3,675 | 2051% |
| Wc Travelers Ins | $3,675 | 2051% |
| Wc Trs Workers Comp Claim | $3,675 | 2051% |
| Wc Us Dol | $3,675 | 2051% |
| Wc Zurich | $3,675 | 2051% |
| Aarp | $4,083 | 2278% |
| Admin Concepts | $4,083 | 2278% |
| All Saints Hospice | $4,083 | 2278% |
| All State | $4,083 | 2278% |
| Allegiance Health Hospice | $4,083 | 2278% |
| Allied Natl | $4,083 | 2278% |
| Amfirst | $4,083 | 2278% |
| Avoy Parish School Board | $4,083 | 2278% |
| Avoyelles Parish Sheriff | $4,083 | 2278% |
| Bollinger | $4,083 | 2278% |
| Ccmsi | $4,083 | 2278% |
| Central States | $4,083 | 2278% |
| Christus Health Plan | $4,083 | 2278% |
| Compassionate Care Hospic | $4,083 | 2278% |
| Core Source | $4,083 | 2278% |
| Coushatta Hlth Dept | $4,083 | 2278% |
| Ebms | $4,083 | 2278% |
| Federated Ins | $4,083 | 2278% |
| Feedom Life | $4,083 | 2278% |
| Fidelity Standard Life Co | $4,083 | 2278% |
| Fox Everette | $4,083 | 2278% |
| Guarantee Trust | $4,083 | 2278% |
| Heart Of Hospice | $4,083 | 2278% |
| Hos Christus Hospice | $4,083 | 2278% |
| Hos Guardian Hospice Care | $4,083 | 2278% |
| Hos Harbor Hospice Alex | $4,083 | 2278% |
| Hos La Hospice Palliative | $4,083 | 2278% |
| Hos Passages Hospice N. | $4,083 | 2278% |
| Hos St Joseph Hospice | $4,083 | 2278% |
| Hospice Miscellaneous | $4,083 | 2278% |
| Ins Mgmnt Admin | $4,083 | 2278% |
| Ins Tpa | $4,083 | 2278% |
| Liberty Health Share | $4,083 | 2278% |
| Lumico | $4,083 | 2278% |
| Manhattan Life Ins | $4,083 | 2278% |
| Medi Share | $4,083 | 2278% |
| Misc Comm | $4,083 | 2278% |
| Nalc | $4,083 | 2278% |
| New Era Life | $4,083 | 2278% |
| North American | $4,083 | 2278% |
| Phcs | $4,083 | 2278% |
| Physicians Mutual | $4,083 | 2278% |
| Pipeline Ind Bene | $4,083 | 2278% |
| Progressive Auto | $4,083 | 2278% |
| Reliance Standard Life | $4,083 | 2278% |
| Rural Carriers | $4,083 | 2278% |
| Shelter Ins Co | $4,083 | 2278% |
| Sierre Health And Life | $4,083 | 2278% |
| State Farm | $4,083 | 2278% |
| State Mutual | $4,083 | 2278% |
| Sterling Investors | $4,083 | 2278% |
| The Health Plan | $4,083 | 2278% |
| Tribal Hlth Partners | $4,083 | 2278% |
| Tricare | $4,083 | 2278% |
| Trustmark Health Benefits | $4,083 | 2278% |
| Tunica Biloxi | $4,083 | 2278% |
| Uct | $4,083 | 2278% |
| Unified Life | $4,083 | 2278% |
| Usaa Life Ins | $4,083 | 2278% |
| Web-Tpa | $4,083 | 2278% |
| Woodmen Of The World | $4,083 | 2278% |