CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Tift Regional Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $599
Cash Discount Price: $1,333
vs. Medicare Baseline: 3.34x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Tift Regional Medical Center is $599. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,333. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.34x the Medicare baseline. Located in 901 E 18Th Street, Tifton, GA.

Cash / Self-Pay

$1,333

Average discount available for prompt cash payment at this facility.

Insurance Median

$599

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: $1,333 (744%)

Insurance Median: $599 (334%)

Cash: $1,333 (744% of Medicare)

Ins. Median: $599 (334% 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 334% of the Medicare baseline (a markup of 234%). 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
Va Contract	$124	69%
Tricare	$131 - $165	73%
Peach State Health Plan	$153	85%
Hospice	$162	90%
Medicare (plans)	$162	90%
Blue Cross Blue Shield	$165 - $2,666	92%
UnitedHealthcare	$165 - $2,253	92%
Aetna	$166 - $2,303	93%
Clover Health	$166	93%
Wellcare	$166 - $523	93%
Humana	$173 - $1,333	97%
Pruitt Health Premier	$178	99%
Health One Alliance	$194 - $239	108%
Caresource Marketplace Exchange	$201 - $247	112%
Zelis Network Solutions	$228 - $330	127%
Ga Workers Comp	$453	253%
Amerigroup	$599	334%
Medicaid / KanCare	$599	334%
Peachstate	$629	351%
Caresource	$659	368%
Self Pay 50	$1,333	744%
Misc Commercial Insurance Plans	$2,399	1339%
Self Pay	$2,399	1339%
Cigna	$2,434	1358%
Misc Non Contracted Commercial Plans	$2,666	1488%

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 $1,333.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Tift Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
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.