CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: The East Alabama Healthcare Authority

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $427
  • Cash Discount Price: $340
  • vs. Medicare Baseline: 2.38x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at The East Alabama Healthcare Authority is $427. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $340. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.38x the Medicare baseline. Located in 2000 Pepperell Parkway, Opelika, AL.
Cash / Self-Pay
$340

Average discount available for prompt cash payment at this facility.

Insurance Median
$427

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: $340 (190%)
Insurance Median: $427 (238%)
Cash: $340 (190% of Medicare)
Ins. Median: $427 (238% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 238% of the Medicare baseline (a markup of 138%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $55 - $628 31%
Blue Cross Blue Shield $55 - $488 31%
Cigna $55 - $317 31%
Humana $55 - $440 31%
Simpra $55 - $161 31%
Viva $55 - $401 31%
Novanet $92 - $94 51%
Beechstreet $154 - $534 86%
Alabama Crime Victims $305 - $314 170%
Mcm Maxcare $488 - $502 272%
Mega Life $488 - $502 272%
UnitedHealthcare $488 - $502 272%
Coventry First Health $518 - $534 289%
Geha $518 - $534 289%
Multiplan $518 - $534 289%
Workers Comp $518 - $534 289%
Trpn $549 - $565 306%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Pepperell Parkway, Opelika, AL 36801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals