CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: USA Health Children's & Women's Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $647
Cash Discount Price: $1,386
vs. Medicare Baseline: 3.61x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at USA Health Children's & Women's Hospital is $647. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,386. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.61x the Medicare baseline. Located in 1700 Center Street, Mobile, AL.

Cash / Self-Pay

$1,386

Average discount available for prompt cash payment at this facility.

Insurance Median

$647

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: $1,386 (773%)

Insurance Median: $647 (361%)

Cash: $1,386 (773% of Medicare)

Ins. Median: $647 (361% 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 361% of the Medicare baseline (a markup of 261%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Magnolia Health	$136	76%
Truecare	$136	76%
UnitedHealthcare	$136 - $1,765	76%
Molina Chip	$150	84%
Blue Cross Blue Shield	$170	95%
Aetna	$173 - $500	97%
Devoted Health	$173 - $2,288	97%
Humana	$173 - $2,124	97%
Viva Health	$173 - $1,634	97%
Wellcare	$173	97%
Molina Marketplace	$190	106%
Ambetter / Centene	$208	116%
Mississippi Physicians Care Network (Mpcn)	$234	131%
Cigna	$450 - $2,124	251%
Central Healthcare Services	$647 - $1,634	361%
Multiplan	$841 - $2,288	469%
Novanet	$1,165 - $2,941	650%

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 $1,386.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm USA Health Children's & Women's Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.