CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Atrium Health Navicent the Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $177
  • Cash Discount Price: $1,708
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Atrium Health Navicent the Medical Center is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,708. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.99x the Medicare baseline. Located in 777 Hemlock Street, Macon, GA.
Cash / Self-Pay
$1,708

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: $1,708 (953%)
Insurance Median: $177 (99%)
Cash: $1,708 (953% 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
Aetna $56 - $2,356 31%
Blue Cross Blue Shield $56 - $173 31%
Georgia Health Advantage $56 - $173 31%
Humana $56 - $2,346 31%
UnitedHealthcare $56 - $1,422 31%
Care Source $58 - $177 32%
Clover $58 - $177 32%
Eon Health $58 - $177 32%
Pruitt Health $59 - $173 33%
Alliant $68 - $208 38%
Ambetter / Centene $76 - $1,742 42%
Cigna $134 - $596 75%
Kaiser $180 - $2,220 100%
Securehealth $196 - $1,195 109%
Multiplan $2,220 - $2,732 1239%
Ibg $2,414 1347%
Novanet $2,732 1525%
Three Rivers Provider Network $2,903 1620%
Beechstreet $3,176 1772%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 777 Hemlock Street, Macon, GA 31201
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals