CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Merit Health River Region

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $288
  • Cash Discount Price: $1,820
  • vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Merit Health River Region is $288. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,820. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.61x the Medicare baseline. Located in 2100 Hwy 61 N, Vicksburg, MS.
Cash / Self-Pay
$1,820

Average discount available for prompt cash payment at this facility.

Insurance Median
$288

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: $1,820 (1016%)
Insurance Median: $288 (161%)
Cash: $1,820 (1016% of Medicare)
Ins. Median: $288 (161% 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.

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
Magnolia $136 76%
Magnolia Mcd Chip $136 76%
Medicaid / KanCare $136 - $1,157 76%
UnitedHealthcare $136 - $1,157 76%
Caresource Truecare $138 77%
Molina Chip $147 82%
Veterans Eval Services $152 85%
First Choice $164 - $4,172 92%
Medicare (plans) $164 92%
Node Magnolia Mcr Adv $164 92%
Node Vantage Mcr Adv $164 92%
Tricare $165 92%
Node Devoted Health Mcr Adv $167 93%
Node First Choice American Health Of Ms Mcr Adv $167 93%
Node Hospice Non Par Agree $167 93%
Node Molina Mcr Adv $167 93%
Node Peoples Health Mcr Adv $167 93%
Node Va $167 93%
Aetna $169 - $811 94%
Node First Choice Wellcare Mcr Adv $170 95%
Node Windsor Mcr Adv $172 96%
Department Of Veterans Affairs $173 97%
Node Healthy Mississippi Mcr Adv $184 103%
Ms Work Comp $190 106%
Node Us Dept Of Labor $209 117%
Node Seven Corners $284 158%
Magnolia Exchange $292 163%
Molina Exchange $297 166%
Vantage Commercial $375 209%
Advanced Health Systems $570 318%
Blue Cross Blue Shield $733 409%
Humana $1,157 646%
Self Pay $1,365 - $2,276 762%
Medpartners $1,517 847%
Trimed Billing Solutions $2,276 1270%
Cigna $3,133 - $5,310 1748%
Ms Dept Of Rehabilitation Services $3,683 2055%
First Choice Mpcn Standard $4,172 2328%
Phcs $4,551 2540%
Ms Health Partners $5,689 3175%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2100 Hwy 61 N, Vicksburg, MS 39183
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals