CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Bayou Bend Health System

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,110
Cash Discount Price: $1,142
vs. Medicare Baseline: 6.19x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Bayou Bend Health System is $1,110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,142. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.19x the Medicare baseline. Located in 1097 Northwest Blvd, Franklin, LA.

Cash / Self-Pay

$1,142

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,110

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: $1,142 (637%)

Insurance Median: $1,110 (619%)

Cash: $1,142 (637% of Medicare)

Ins. Median: $1,110 (619% 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 619% of the Medicare baseline (a markup of 519%). 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	$279 - $1,148	156%
UnitedHealthcare	$292 - $816	163%
Tricare	$734	410%
Aetna	$816 - $1,110	455%
Dignity Mcr Adv Ip/Op Only-All Plans	$816	455%
Humana	$816 - $1,061	455%
Sterling Hp Mcr Adv Ip/Op Only-All Plans	$816	455%
Verity Healthnet Mcr Adv Ip/Op Only	$816	455%
Wellcare Mcr Allwell Ip/Op Only-All Plans	$816	455%
Ambetter / Centene	$938	523%
Amerihealth Caritas Mcaid Ip/Op Only-All Plans	$1,148	641%
La Health Mcaid Ip/Op Only	$1,148	641%
Verity Healthnet Mcaid Ip/Op Only	$1,148	641%
Diocese Of Lafaytte Ip/Op Only-All Plans	$1,224	683%
Gilsbar 360 Ip/Op Only-All Plans	$1,224	683%
Verity Healthnet Ip/Op Only-All Other Plans	$1,224	683%
Ccn/First Health Ip/Op Only-All Plans	$1,306	729%
Integrated Hp Multiplan Ip/Op Only-All Plans	$1,306	729%
Ppo Plus / Zelis Ip/Op Only-All Plans	$1,306	729%
Geha Ppo Ip/Op Only-All Plans	$1,387	774%
Usa Mco Ip/Op Only-All Plans	$1,387	774%
Cigna	$1,400	781%
Galaxy Ip/Op Only-All Plans	$1,469	820%

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 $1,142.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Bayou Bend Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.