CMS Price Transparency Data

CT scan, head (with contrast)

Facility: The East Alabama Healthcare Authority

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $314
Cash Discount Price: $345
vs. Medicare Baseline: 1.75x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at The East Alabama Healthcare Authority is $314. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $345. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.75x the Medicare baseline. Located in 2000 Pepperell Parkway, Opelika, AL.

Cash / Self-Pay

$345

Average discount available for prompt cash payment at this facility.

Insurance Median

$314

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: $345 (193%)

Insurance Median: $314 (175%)

Cash: $345 (193% of Medicare)

Ins. Median: $314 (175% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$49 - $628	27%
Blue Cross Blue Shield	$49 - $488	27%
Cigna	$49 - $317	27%
Humana	$49 - $440	27%
Simpra	$49 - $161	27%
Viva	$49 - $401	27%
Novanet	$94	52%
Beechstreet	$154 - $534	86%
Alabama Crime Victims	$314	175%
Mcm Maxcare	$502	280%
Mega Life	$502	280%
UnitedHealthcare	$502	280%
Coventry First Health	$534	298%
Geha	$534	298%
Multiplan	$534	298%
Workers Comp	$534	298%
Trpn	$565	315%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $345.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm The East Alabama Healthcare Authority is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.