CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Claiborne Memorial Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $2,000
  • Cash Discount Price: $2,000
  • vs. Medicare Baseline: 11.16x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Claiborne Memorial Medical Center is $2,000. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,000. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 11.16x the Medicare baseline. Located in 620 East College Street, Homer, LA.
Cash / Self-Pay
$2,000

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,000

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: $2,000 (1116%)
Insurance Median: $2,000 (1116%)
Cash: $2,000 (1116% of Medicare)
Ins. Median: $2,000 (1116% 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 1116% of the Medicare baseline (a markup of 1016%). 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
Vantage Health Plan Inc $171 95%
Ambetter / Centene $251 140%
Medicaid / KanCare $251 - $859 140%
Sedgwick Claims Mgmt Serv $643 - $1,800 359%
Workman'S Comp $643 - $1,800 359%
Aetna $800 - $1,300 446%
Commercial Insurance $800 - $2,000 446%
Meritain Health $800 - $1,300 446%
Amerihealth Caritas La $859 479%
Community Health Solution $859 479%
Correctcare Intergrated $859 479%
Healthy Blue $859 479%
Humana $859 - $2,000 479%
Louisiana Hc Connections $859 479%
Magellan Services $859 479%
UnitedHealthcare $859 479%
Blue Cross Blue Shield $952 531%
Coventry Healthcare $1,200 670%
Geha $1,400 781%
Health Plus Of La $1,400 - $1,500 781%
Apwu Healthplan $1,500 837%
Cigna $1,500 837%
Great West Healthcare $1,500 837%
Phcs $1,600 893%
Ppo Plus $1,600 893%
Aarp $2,000 1116%
Accordia National $2,000 1116%
Aflac $2,000 1116%
Alameda Alliance Forhealt $2,000 1116%
American Pioneer $2,000 1116%
Benefit Management $2,000 1116%
Benesys Inc $2,000 1116%
Business Guarantor $2,000 1116%
Chubb $2,000 1116%
Commercial Sr. Care $2,000 1116%
Employee Benefit Services $2,000 1116%
Family Life Insurance Co $2,000 1116%
Farm Bureau Insurance $2,000 1116%
Fiserv Health Benefit $2,000 1116%
Gmp $2,000 1116%
Group And Pension Admin $2,000 1116%
Group Resources $2,000 1116%
Haik Minvielle And Grubbs $2,000 1116%
Harrington Benefit Svs $2,000 1116%
Health Design Plus $2,000 1116%
Health Plan $2,000 1116%
Healthscope Benefits $2,000 1116%
Insurance Management Admi $2,000 1116%
Jefferson National $2,000 1116%
John Alden Health Ins $2,000 1116%
John Hancock $2,000 1116%
Liberty Mutual $2,000 1116%
Mailhandlers Benefit Plan $2,000 1116%
Manhattan Life Ins Co $2,000 1116%
Mega Life And Health $2,000 1116%
Msa Careguard $2,000 1116%
Mutual Of Omaha $2,000 1116%
Nalc Health Benefit Plan $2,000 1116%
Naphcare Inc. $2,000 1116%
New Era Life Ins Co $2,000 1116%
Physicians Mutual $2,000 1116%
Principal Financial Group $2,000 1116%
Prudential Healthcare $2,000 1116%
Self Pay $2,000 1116%
State Farm $2,000 1116%
State Farm Insurance $2,000 1116%
State Mutual Insurance Co $2,000 1116%
Sterling Investors Life $2,000 1116%
Tower Life $2,000 1116%
Transamerica Premier Ins $2,000 1116%
United American $2,000 1116%
United Comm Travelers $2,000 1116%
United Teachers $2,000 1116%
Usable Administrator $2,000 1116%
Visn 16 Cfu $2,000 1116%
Wausau Benefits $2,000 1116%
Webtpa $2,000 1116%
Wells Fargo $2,000 1116%
Woodmen Of The World $2,000 1116%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 620 East College Street, Homer, LA 71040
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals