CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Grady Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $177
  • Cash Discount Price: $4,594
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Grady Memorial Hospital is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,594. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.99x the Medicare baseline. Located in 80 Jesse Hill, Jr Drive Se, Atlanta, GA.
Cash / Self-Pay
$4,594

Average discount available for prompt cash payment at this facility.

Insurance Median
$177

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: $4,594 (2564%)
Insurance Median: $177 (99%)
Cash: $4,594 (2564% of Medicare)
Ins. Median: $177 (99% 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.

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
Amerigroup $50 - $747 28%
Caresource $50 - $685 28%
Peach State $50 - $685 28%
Aetna $52 - $2,044 29%
Ambetter / Centene $52 - $680 29%
Blue Cross Blue Shield $52 - $3,675 29%
Cigna $52 - $2,717 29%
Humana $52 - $177 29%
Kaiser $52 - $3,482 29%
Medicare (plans) $52 - $177 29%
UnitedHealthcare $52 - $3,308 29%
Vaccn $52 - $177 29%
Wellcare $52 - $177 29%
Clear Spring Health $54 - $186 30%
Clover $54 - $186 30%
Usp Naphcare $57 - $2,756 32%
Oscar Health $73 - $2,986 41%
Multiplan $3,537 1974%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 80 Jesse Hill, Jr Drive Se, Atlanta, GA 30303
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals