CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Atrium Health Navicent the Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $173
  • Cash Discount Price: $1,391
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Atrium Health Navicent the Medical Center is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,391. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.97x the Medicare baseline. Located in 777 Hemlock Street, Macon, GA.
Cash / Self-Pay
$1,391

Average discount available for prompt cash payment at this facility.

Insurance Median
$173

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: $1,391 (776%)
Insurance Median: $173 (97%)
Cash: $1,391 (776% of Medicare)
Ins. Median: $173 (97% 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 $50 - $1,920 28%
Blue Cross Blue Shield $50 - $178 28%
Georgia Health Advantage $50 - $173 28%
Humana $50 - $1,911 28%
UnitedHealthcare $50 - $1,422 28%
Care Source $51 - $177 28%
Clover $51 - $177 28%
Eon Health $51 - $177 28%
Pruitt Health $53 - $173 30%
Alliant $60 - $208 33%
Ambetter / Centene $68 - $1,419 38%
Cigna $119 - $487 66%
Securehealth $153 - $974 85%
Kaiser $160 - $1,808 89%
Multiplan $1,808 - $2,226 1009%
Ibg $1,967 1098%
Novanet $2,226 1242%
Three Rivers Provider Network $2,365 1320%
Beechstreet $2,587 1444%

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