CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Ochsner St Martin Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $389
Cash Discount Price: $333
vs. Medicare Baseline: 2.17x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Ochsner St Martin Hospital is $389. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $333. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.17x the Medicare baseline. Located in 210 Champagne Boulevard, Breaux Bridge, LA.

Cash / Self-Pay

$333

Average discount available for prompt cash payment at this facility.

Insurance Median

$389

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: $333 (186%)

Insurance Median: $389 (217%)

Cash: $333 (186% of Medicare)

Ins. Median: $389 (217% 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 217% of the Medicare baseline (a markup of 117%). 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
Aetna	$244 - $1,011	136%
Blue Cross Blue Shield	$244 - $458	136%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$244	136%
Humana	$244 - $403	136%
Medicare (plans)	$244	136%
Ochsner Health Plan	$244	136%
UnitedHealthcare	$244 - $403	136%
Wellcare Of Louisiana	$244	136%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$252	141%
Tricare	$283	158%
Verity Commercial And First Choice Network	$389	217%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$403	225%
Healthy Blue (Healthy Louisiana)	$403	225%
Louisiana Healthcare Connections (Healthy Louisiana)	$403	225%
Zelis	$778	434%
Cigna	$944	527%

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 $333.
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 Ochsner St Martin 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.