CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Merit Health River Oaks

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $159
  • Cash Discount Price: $522
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Merit Health River Oaks is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $522. 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
$522

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: $522 (291%)
Insurance Median: $159 (89%)
Cash: $522 (291% 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 $17 - $1,130 9%
Self Pay $19 - $1,249 11%
UnitedHealthcare $23 - $1,515 13%
Trimed Billing Solutions $26 - $1,703 15%
Ms State Hospital Of Whitfield Ms $33 - $2,157 18%
First Choice Standard $39 - $2,611 22%
First Choice Coventry $45 - $2,952 25%
First Choice Mpcn Standard $47 - $3,122 26%
First Choice Ppo Plus $47 - $3,122 26%
Phcs $51 - $3,406 28%
Benefit Administration Services $62 - $4,825 35%
Benefit Management Systems $62 - $4,825 35%
Citizens State Bank Inc $62 - $4,825 35%
First Choice Stratose $69 - $4,541 39%
Prime Health Services $69 - $4,541 39%
American Health Group $73 - $4,825 41%
Beech Street $73 - $4,825 41%
Formost $73 - $4,825 41%
Usa Mco $73 - $4,825 41%
One Health Plan $77 - $5,108 43%
Ms Dept Of Rehabilitation Services $86 - $5,676 48%
Veterans Eval Services $86 - $152 48%
Medicaid / KanCare $136 - $866 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%
Ms Work Comp $190 106%
Prime Health Wc $190 106%
Node Us Dept Of Labor $198 110%
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