CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Oakdale Community Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,563
Cash Discount Price: $537
vs. Medicare Baseline: 8.72x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Oakdale Community Hospital is $1,563. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $537. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 8.72x the Medicare baseline. Located in 130 N Hospital Dr, Oakdale, LA.

Cash / Self-Pay

$537

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,563

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: $537 (300%)

Insurance Median: $1,563 (872%)

Cash: $537 (300% of Medicare)

Ins. Median: $1,563 (872% 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 872% of the Medicare baseline (a markup of 772%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$299	167%
Aetna	$336 - $1,510	188%
Meritain	$336 - $1,510	188%
Amfirst	$537	300%
Self Pay	$537	300%
Medicaid / KanCare	$595	332%
UnitedHealthcare	$595	332%
Humana	$654 - $1,692	365%
Web-Tpa	$1,343	749%
Cigna	$1,464 - $1,515	817%
Ima	$1,612 - $2,686	900%
Ppo Plus	$1,612	900%
Wc Gulf South Risk Srvcs	$2,417	1349%
Wc Martco	$2,417	1349%
Wc Misc	$2,417	1349%
Wc Risk Mgmnt-Baton Rouge	$2,417	1349%
Wc Sedwick Workmans Comp	$2,417	1349%
Wc Us Department Of Labor	$2,417	1349%
American Public Life	$2,686	1499%
American Retirement Life	$2,686	1499%
Apwu	$2,686	1499%
Auto Liability	$2,686	1499%
Bankers Life	$2,686	1499%
Correct Care	$2,686	1499%
Fox Everitt	$2,686	1499%
Mailhandlers Benefit Plan	$2,686	1499%
Medishare	$2,686	1499%
Medplus	$2,686	1499%
Misc Commerical	$2,686	1499%
Phcs	$2,686	1499%
Physicians Mutual	$2,686	1499%
State Farm-La	$2,686	1499%
Triwest	$2,686	1499%
Us Family Health Plan	$2,686	1499%
Usaa	$2,686	1499%

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 $537.
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 Oakdale Community Hospital 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.