CMS Price Transparency Data

CT scan, head (with contrast)

Facility: McLaren Port Huron

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $97
Cash Discount Price: $501
vs. Medicare Baseline: 0.54x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at McLaren Port Huron is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $501. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.54x the Medicare baseline. Located in 1221 Pine Grove Ave, Port Huron, MI.

Cash / Self-Pay

$501

Average discount available for prompt cash payment at this facility.

Insurance Median

$97

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: $501 (280%)

Insurance Median: $97 (54%)

Cash: $501 (280% of Medicare)

Ins. Median: $97 (54% 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
Medicaid / KanCare	$34 - $100	19%
Humana	$51 - $174	28%
Medicare (plans)	$51 - $278	28%
U Of M Health Plan	$59	33%
Mclaren Commercial Ins	$66	37%
UnitedHealthcare	$66	37%
Aetna	$69	39%
Priority Health	$78	44%
Blue Cross Blue Shield	$85 - $360	47%
Mi Amish Medical Board	$174	97%
Tricare	$174	97%

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 $501.
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 McLaren Port Huron 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.