CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Indiana Regional Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $183
  • Cash Discount Price: $683
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Indiana Regional Medical Center is $183. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $683. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.02x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$683

Average discount available for prompt cash payment at this facility.

Insurance Median
$183

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: $683 (381%)
Insurance Median: $183 (102%)
Cash: $683 (381% of Medicare)
Ins. Median: $183 (102% 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
UnitedHealthcare $115 - $759 64%
Upmc Health Plan $120 - $1,540 67%
Highmark Wholecare $124 - $183 69%
Amerihealth Caritas $132 - $189 74%
Geisinger Health Plan $132 - $189 74%
Ambetter / Centene $135 - $189 75%
Highmark $136 - $504 76%
Humana $160 - $180 89%
Aetna $161 - $560 90%
Tricare $161 - $1,897 90%
Cigna $162 - $467 90%
Medicare (plans) $162 - $183 90%
United Mine Workers Of America $162 - $183 90%
Geisinger $227 - $512 127%
Pa Health And Wellness Commercial $227 - $512 127%
Premier Comp Solutions, Llc $280 156%
Department Of Human Services And Torrance State Hospital $1,195 667%
Miscellaneous Commercial $1,897 1059%
Pa Workers Compensation $1,897 1059%

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