CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Merit Health River Oaks

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $159
  • Cash Discount Price: $530
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Merit Health River Oaks is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $530. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.89x the Medicare baseline. Located in 1030 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$530

Average discount available for prompt cash payment at this facility.

Insurance Median
$159

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: $530 (296%)
Insurance Median: $159 (89%)
Cash: $530 (296% of Medicare)
Ins. Median: $159 (89% 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
Cigna $21 - $1,141 12%
Self Pay $23 - $1,261 13%
UnitedHealthcare $28 - $1,531 16%
Trimed Billing Solutions $31 - $1,720 17%
Ms State Hospital Of Whitfield Ms $39 - $2,179 22%
First Choice Standard $47 - $2,637 26%
First Choice Coventry $54 - $2,981 30%
First Choice Mpcn Standard $57 - $3,153 32%
First Choice Ppo Plus $57 - $3,153 32%
Phcs $62 - $3,440 35%
Benefit Administration Services $74 - $4,873 41%
Benefit Management Systems $74 - $4,873 41%
Citizens State Bank Inc $74 - $4,873 41%
First Choice Stratose $83 - $4,586 46%
Prime Health Services $83 - $4,586 46%
American Health Group $88 - $4,873 49%
Beech Street $88 - $4,873 49%
Formost $88 - $4,873 49%
Usa Mco $88 - $4,873 49%
One Health Plan $93 - $5,160 52%
Ms Dept Of Rehabilitation Services $103 - $5,733 57%
Veterans Eval Services $103 - $151 57%
Medicaid / KanCare $136 - $874 76%
Magnolia Mcd Chip $137 76%
Caresource Truecare $138 77%
Molina Chip $147 82%
Tricare $150 84%
Humana $156 87%
Medicare (plans) $156 87%
Node First Choice Shared Health Of Ms Mcr Adv $156 87%
Node Vantage Health Mcr Adv $156 87%
Node Champva $158 88%
Node Hospice Non Par Agree $158 88%
Node Va $158 88%
Molina $159 89%
Node Devoted Health Mcr Adv $159 89%
Node First Choice American Health Mcr Adv $159 89%
Aetna $160 - $400 89%
Node First Choice Wellcare Mcr Adv $162 90%
Node Healthy Mississippi Mcr Adv $174 97%
Node Us Dept Of Labor $198 110%
Ms Work Comp $229 128%
Prime Health Wc $229 128%
First Choice Preferred $238 133%
Node First Choice Occunet $238 133%
Node First Choice Seven Corners $269 150%
Magnolia Exchange $277 155%
Molina Exchange $281 157%
First Choice Lgp $345 193%
Vantage Health Commercial $356 199%
Advanced Health Systems $570 318%
Blue Cross Blue Shield $835 466%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1030 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals