CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Medical Center Enterprise

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $205
  • Cash Discount Price: $2,509
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Medical Center Enterprise is $205. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,509. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.14x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$2,509

Average discount available for prompt cash payment at this facility.

Insurance Median
$205

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: $2,509 (1400%)
Insurance Median: $205 (114%)
Cash: $2,509 (1400% of Medicare)
Ins. Median: $205 (114% 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
Al Maternity Waiver Program $109 61%
Medicaid / KanCare $143 - $205 80%
Tricare $144 80%
Blue Cross Blue Shield $149 - $417 83%
Humana $149 83%
Medicare (plans) $149 83%
UnitedHealthcare $149 - $364 83%
Select Health $150 84%
Covenant Hospice $151 84%
Dayspring Hospice $151 84%
Node Champva $151 84%
Node Hospice Non Par $151 84%
Node Va $151 84%
Southerncare Hospice $151 84%
Healthspring $152 85%
Node Devoted Health Mcr Adv $152 85%
Aetna $153 - $9,008 85%
Node Clover Mcr Adv $153 85%
Node Wellcare Mcr Adv $154 86%
Veterans Eval Services $154 86%
Eon Health $156 87%
Wiregrass Hospice $160 89%
Node Us Dept Of Labor $189 105%
Ambetter / Centene $227 127%
Cigna $255 - $1,603 142%
Occunet $265 148%
Self Pay $1,158 - $3,861 646%
American Employee Alliance $5,148 2873%
Alamed $7,721 4309%
Affordable Health $9,008 5027%
Health Choice $9,008 5027%
Novanet Ppo $9,008 5027%
Coventry Work Comp Al $9,471 5285%
Multiplan $9,523 - $10,166 5314%
Wc Dept Ind Relations $10,295 5745%
Corvel $10,938 6104%
Galaxy Health $11,582 6463%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals