CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Memorial Health Meadows Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $990
Cash Discount Price: $6,074
vs. Medicare Baseline: 5.52x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Memorial Health Meadows Hospital is $990. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,074. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.52x the Medicare baseline. Located in One Meadows Parkway, Vidalia, GA.

Cash / Self-Pay

$6,074

Average discount available for prompt cash payment at this facility.

Insurance Median

$990

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: $6,074 (3390%)

Insurance Median: $990 (552%)

Cash: $6,074 (3390% of Medicare)

Ins. Median: $990 (552% 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 552% of the Medicare baseline (a markup of 452%). 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
Health One Alliance	$200	112%
Ambetter / Centene	$210	117%
Aetna	$230	128%
United	$402 - $2,733	224%
Prime Health	$448	250%
Employer'S Health Network	$457	255%
Amerigroup	$753	420%
Blue Cross Blue Shield	$990 - $3,140	552%
Pruitt Health	$1,154	644%
Peach State	$1,215	678%
Memorial Health Plan	$1,336	746%
Multiplan	$5,467	3051%

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 $6,074.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Memorial Health Meadows Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.