CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Indiana Regional Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $185
  • Cash Discount Price: $521
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Indiana Regional Medical Center is $185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $521. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.03x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$521

Average discount available for prompt cash payment at this facility.

Insurance Median
$185

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: $521 (291%)
Insurance Median: $185 (103%)
Cash: $521 (291% of Medicare)
Ins. Median: $185 (103% 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 $92 - $594 51%
Upmc Health Plan $96 - $1,280 54%
Amerihealth Caritas $106 - $189 59%
Geisinger Health Plan $106 - $189 59%
Ambetter / Centene $108 - $189 60%
Highmark $116 - $504 65%
Highmark Wholecare $124 - $183 69%
Humana $137 - $180 76%
Aetna $138 - $560 77%
Tricare $138 - $1,484 77%
Cigna $139 - $467 78%
Medicare (plans) $139 - $183 78%
United Mine Workers Of America $139 - $183 78%
Geisinger $195 - $512 109%
Pa Health And Wellness Commercial $195 - $512 109%
Premier Comp Solutions, Llc $250 140%
Department Of Human Services And Torrance State Hospital $890 - $935 497%
Miscellaneous Commercial $1,413 - $1,484 789%
Pa Workers Compensation $1,413 - $1,484 789%

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