CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Grandview Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $7,504
  • Cash Discount Price: $3,473
  • vs. Medicare Baseline: 41.88x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Grandview Medical Center is $7,504. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,473. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 41.88x the Medicare baseline. Located in 3690 Grandview Parkway, Birmingham, AL.
Cash / Self-Pay
$3,473

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,504

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: $3,473 (1938%)
Insurance Median: $7,504 (4188%)
Cash: $3,473 (1938% of Medicare)
Ins. Median: $7,504 (4188% 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 4188% of the Medicare baseline (a markup of 4088%). 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
Encompass Health $93 52%
Medicaid / KanCare $143 80%
Tricare $152 85%
Veterans Eval Services $154 86%
Blue Advantage $158 88%
Humana $158 88%
Medicare (plans) $158 88%
UnitedHealthcare $158 - $8,442 88%
Victory Health $158 88%
Viva Health $158 - $10,319 88%
Select Health $159 89%
Hospice $160 89%
Node Champva $160 89%
Node Va $160 89%
Cigna $161 - $286 90%
Node Devoted Health Mcr Adv $161 90%
Node Clover Health Mcr Adv $162 90%
Aetna $163 - $5,216 91%
Node Wellcare Mcr Adv $164 92%
Node Us Dept Of Labor $201 112%
Acg Research $211 118%
Ambetter / Centene $241 134%
Healthspring $281 157%
Blue Cross Blue Shield $545 304%
Choicecare $650 363%
Alamed $1,248 696%
Self Pay $2,582 - $4,503 1441%
First Health $3,500 - $14,671 1953%
Bp Health Advocate $4,303 - $4,690 2401%
Ag Administrators $6,025 - $6,566 3362%
Drummond $6,025 - $6,566 3362%
American Employee Alliance $6,885 - $7,504 3842%
Healthchoice $8,606 - $11,257 4802%
Value Options $8,606 - $9,380 4802%
Multiplan $10,500 - $13,133 5859%
Blue Bell Creameries $12,049 - $13,133 6724%
Natl Comp Care $12,910 - $14,071 7204%
Usa Ppo $12,910 - $14,071 7204%
Coventry Work Comp Al $13,461 - $14,671 7512%
Novanet $13,900 - $15,150 7757%
Alabama Wc $14,631 - $15,947 8165%
Cal-Med $14,631 - $15,947 8165%
Corvel $14,631 - $15,947 8165%
Associated Admin $15,492 - $16,885 8645%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3690 Grandview Parkway, Birmingham, AL 35243
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals