CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Merit Health Wesley

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $234
  • Cash Discount Price: $1,339
  • vs. Medicare Baseline: 1.31x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Merit Health Wesley is $234. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,339. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.31x the Medicare baseline. Located in 5001 W Hardy St, Hattiesburg, MS.
Cash / Self-Pay
$1,339

Average discount available for prompt cash payment at this facility.

Insurance Median
$234

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: $1,339 (747%)
Insurance Median: $234 (131%)
Cash: $1,339 (747% of Medicare)
Ins. Median: $234 (131% 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 - $153 76%
Medicaid / KanCare $136 - $801 76%
UnitedHealthcare $136 - $588 76%
Magnolia Mcd Ms Chip $137 76%
Caresource Truecare $138 77%
Molina Chip $147 82%
Tricare $150 84%
Veterans Eval Services $152 85%
First Choice $153 - $4,201 85%
Humana $153 85%
Medicare (plans) $153 85%
Node Vantage Mcr Adv $153 85%
Molina $156 87%
Node Devoted Health Mcr Adv $156 87%
Node First Choice American Health Mcr Adv $156 87%
Node Hospice Non Par Agree $156 87%
Node Va $156 87%
Aetna $158 - $2,190 88%
Node Champva $158 88%
Node First Choice Wellcare Mcr Adv $159 89%
Node Healthy Mississippi Mcr Adv $171 95%
Ms Work Comp $190 106%
Node Us Dept Of Labor $195 109%
First Choice Molina $265 148%
Magnolia Exchange $273 152%
Molina Exchange $277 155%
First Choice Lgp $340 190%
Vantage Health $350 195%
Advanced Health Systems $570 318%
Blue Cross Blue Shield $733 409%
Chs Group Health Plan $1,050 586%
Self Pay $1,103 - $1,575 616%
Cigna $1,481 826%
Trimed Billing Solutions $1,575 879%
Benefit Management Services $3,413 1905%
Coventry First Health $3,938 2198%
Ms Dept Of Rehabilitation Services $5,251 2930%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5001 W Hardy St, Hattiesburg, MS 39402
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals