CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Flowers Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $556
  • Cash Discount Price: $1,936
  • vs. Medicare Baseline: 3.10x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Flowers Hospital is $556. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,936. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.10x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$1,936

Average discount available for prompt cash payment at this facility.

Insurance Median
$556

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: $1,936 (1080%)
Insurance Median: $556 (310%)
Cash: $1,936 (1080% of Medicare)
Ins. Median: $556 (310% 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 310% of the Medicare baseline (a markup of 210%). 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 $143 80%
Medicaid / KanCare $143 - $205 80%
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 - $6,282 95%
Node Clover Health Mcr Adv $171 95%
Node Wellcare Mcr Adv $172 96%
Eon Health Care $175 98%
Prime Health $178 - $6,072 99%
Node Us Dept Of Labor $211 118%
Ambetter / Centene $253 141%
Occunet $375 209%
Alamed Wc $450 251%
Choicecare Commercial $650 363%
Multiplan $1,164 - $6,885 650%
Self Pay $1,291 - $2,582 720%
S & S Healthcare $2,152 1201%
American Employee Alliance $3,442 1921%
Coventry Healthcare $4,303 - $6,572 2401%
Viva Health $5,164 2882%
Standard Textile $6,024 3362%
Health Choice $6,282 3506%
Equian $6,454 - $6,786 3602%
Qhp $6,454 3602%
Novanet $6,885 3842%
Alabama Work Comp $7,143 3986%
Ccn/Mednet Ppo $7,315 4082%
Corvel $7,315 4082%
Industry Buying Group $7,315 4082%
Galaxy Health $7,745 4322%
Health Payors Org $7,745 4322%
National Provider Net $7,745 4322%

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