CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Indiana Regional Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $134
  • Cash Discount Price: $423
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Indiana Regional Medical Center is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $423. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$423

Average discount available for prompt cash payment at this facility.

Insurance Median
$134

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $423 (396%)
Insurance Median: $134 (125%)
Cash: $423 (396% of Medicare)
Ins. Median: $134 (125% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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
Highmark Wholecare $74 - $109 69%
Highmark $84 - $300 79%
UnitedHealthcare $89 - $494 83%
Upmc Health Plan $93 - $1,061 87%
Humana $99 - $107 93%
Tricare $99 - $1,235 93%
Aetna $100 - $334 94%
Cigna $100 - $279 94%
Medicare (plans) $100 - $109 94%
United Mine Workers Of America $100 - $109 94%
Amerihealth Caritas $102 - $113 95%
Geisinger Health Plan $102 - $113 95%
Ambetter / Centene $103 - $113 96%
Geisinger $140 - $305 131%
Pa Health And Wellness Commercial $140 - $305 131%
Premier Comp Solutions, Llc $225 211%
Department Of Human Services And Torrance State Hospital $696 - $778 652%
Miscellaneous Commercial $1,104 - $1,235 1034%
Pa Workers Compensation $1,104 - $1,235 1034%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 Hospital Road, Indiana, PA 15701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals