CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Flowers Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $600
  • Cash Discount Price: $2,737
  • vs. Medicare Baseline: 3.35x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Flowers Hospital is $600. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,737. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.35x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$2,737

Average discount available for prompt cash payment at this facility.

Insurance Median
$600

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: $2,737 (1527%)
Insurance Median: $600 (335%)
Cash: $2,737 (1527% of Medicare)
Ins. Median: $600 (335% 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 335% of the Medicare baseline (a markup of 235%). 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
Alabama Rehab $153 85%
Medicaid / KanCare $153 - $205 85%
Veterans Eval Services $154 86%
Tricare $161 90%
Blue Cross Blue Shield $166 - $463 93%
Humana $166 93%
Medicare (plans) $166 93%
Node Viva Mcr Adv $166 93%
UnitedHealthcare $166 - $364 93%
Select Health $168 94%
Compassionate Hands $169 94%
Covenant Hospice $169 94%
Dayspring Hospice $169 94%
Node Champva $169 94%
Node Hospice Non Par $169 94%
Node Va $169 94%
Southern Care Hospice $169 94%
Vistacare Hospice $169 94%
Wiregrass Hospice $169 94%
Care Improvement Plus $170 95%
Cigna $170 - $1,296 95%
Node Devoted Health Mcr Adv $170 95%
Aetna $171 - $8,880 95%
Node Clover Health Mcr Adv $171 95%
Node Wellcare Mcr Adv $172 96%
Eon Health Care $175 98%
Prime Health $178 - $8,582 99%
Node Us Dept Of Labor $211 118%
Ambetter / Centene $253 141%
Occunet $450 251%
Alamed Wc $550 307%
Choicecare Commercial $650 363%
Multiplan $1,164 - $9,732 650%
Self Pay $1,825 - $3,650 1018%
S & S Healthcare $3,041 1697%
American Employee Alliance $4,866 2715%
Coventry Healthcare $6,082 - $9,289 3394%
Viva Health $7,299 4073%
Standard Textile $8,516 4752%
Health Choice $8,880 4955%
Equian $9,124 - $9,592 5092%
Qhp $9,124 5092%
Novanet $9,732 5431%
Alabama Work Comp $10,097 5634%
Ccn/Mednet Ppo $10,340 5770%
Corvel $10,340 5770%
Industry Buying Group $10,340 5770%
Galaxy Health $10,948 6109%
Health Payors Org $10,948 6109%
National Provider Net $10,948 6109%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4370 West Main Street, Dothan, AL 36302
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals