CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Monroe Surgical Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $294
Cash Discount Price: $1,718
vs. Medicare Baseline: 1.64x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Monroe Surgical Hospital is $294. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,718. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.64x the Medicare baseline. Located in 2408 Broadmoor Blvd, Monroe, LA.

Cash / Self-Pay

$1,718

Average discount available for prompt cash payment at this facility.

Insurance Median

$294

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: $1,718 (959%)

Insurance Median: $294 (164%)

Cash: $1,718 (959% of Medicare)

Ins. Median: $294 (164% 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
Aetna	$159 - $1,603	89%
Blue_Cross_Blue_Shield	$159 - $352	89%
Ford_Bacon_And_Davis	$159	89%
Humana	$159 - $278	89%
Medicare (plans)	$159	89%
UnitedHealthcare	$159 - $1,550	89%
Vantage	$159 - $278	89%
Insurance_Systems_Smso_Employee	$199	111%
Insurance_Systems	$222	124%
Healthy_Blue	$294	164%
Medicaid / KanCare	$294	164%
Verity	$296	165%
Gilsbar	$341	190%
First_Health	$1,603	895%
Cigna	$1,718	959%
Ima	$1,832	1022%
Beech_St	$1,944	1085%
Workers_Comp	$2,061	1150%

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 $1,718.
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 Monroe Surgical 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.