CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Northside Hospital Cherokee

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,128
  • Cash Discount Price: $2,993
  • vs. Medicare Baseline: 10.56x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Northside Hospital Cherokee is $1,128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,993. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.56x the Medicare baseline. Located in 450 Northside Cherokee Boulevard, Canton, GA.
Cash / Self-Pay
$2,993

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,128

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $2,993 (2802%)
Insurance Median: $1,128 (1056%)
Cash: $2,993 (2802% of Medicare)
Ins. Median: $1,128 (1056% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1056% of the Medicare baseline (a markup of 956%). 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
Champus Va $66 62%
Blue Cross Blue Shield $104 - $2,781 97%
Clear Springs Eon Health $104 97%
Medicare (plans) $104 - $127 97%
UnitedHealthcare $104 - $1,307 97%
Va Ccn $104 97%
Bccp $106 99%
Cbww $106 99%
Humana $106 - $109 99%
Tricare $106 99%
Aetna $107 - $1,455 100%
Coventry $107 - $2,713 100%
Caresource $108 - $1,484 101%
Kaiser $108 - $1,483 101%
Wellcare $108 101%
Clover Health $110 103%
Pruitt Health Premier $110 103%
Us Dept Of Labor Wc $133 125%
Streamline Imaging $138 129%
Mti $164 154%
Homelink $175 164%
One Call Diagnostics $194 182%
Genex/Priority Care Solutions $223 209%
Spreemo $223 209%
Fairly Group $237 222%
Authentic 4D $251 235%
Direct Pay Provider Network Llc $251 235%
Corvel Workers Comp $265 248%
Employers Choice Network $265 248%
Fieldale Farms Wc $279 261%
Georgia Workers Compensation $279 261%
Truths Community $379 355%
Med Care Solutions $430 403%
Medlien Healthcare Services $430 403%
Ambetter / Centene $446 - $766 418%
Amerigroup $446 - $592 418%
Medicaid / KanCare $446 - $513 418%
Health One Alliance_Ppo $450 421%
Cherokee County Board Of Health $582 545%
Cigna $598 - $1,387 560%
Oscar $695 651%
Good Samaritan Radiology $797 746%
Northside Health Network $1,448 1356%
Georgia Reproductive Specialists $1,596 1494%
Quick Trip $2,194 2054%
Novanet_Ppo $2,793 2615%
Phcs $2,992 2801%
Beech Steet $3,392 3176%
Multiplan $3,392 3176%
Multiplan Workers Comp $3,392 3176%
Careiq $3,990 3736%
Dekalb_Department Of Health $3,990 3736%
Fifa $3,990 3736%
Institutional Marietta Surgery Center $3,990 3736%
Institutional Veterans Evaluation Services $3,990 3736%
Rabun County Boc $3,990 3736%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 450 Northside Cherokee Boulevard, Canton, GA 30115
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals