CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Southeast Georgia Health System -- Camden Campus

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,176
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 6.56x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Southeast Georgia Health System -- Camden Campus is $1,176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.56x the Medicare baseline. Located in 2000 Dan Proctor Drive, Saint Marys, GA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,176

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%)
Insurance Median: $1,176 (656%)
Ins. Median: $1,176 (656% 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 656% of the Medicare baseline (a markup of 556%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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_Community_Care $56 31%
Caresource_Georgia_Families $56 31%
Peachstate_Health_Plan $56 31%
Blue Cross Blue Shield $135 - $1,391 75%
Caresource $135 - $202 75%
Humana $135 - $1,744 75%
UnitedHealthcare $135 75%
United_Healthcare_Veterans_Administration $135 75%
Aetna $137 - $1,666 76%
Clover_Health $137 76%
Devoted_Health $140 78%
Pruitthealth $141 79%
Ambetter / Centene $216 121%
Sea_Island $1,391 776%
Sghs_Meritain $1,391 776%
Coventryone_Hix $1,489 831%
United_Healthcare $1,513 844%
Medishare $1,666 930%
Choicecare $1,744 973%
Cigna $1,744 973%
Industry_Buying_Group_Ibg $1,744 973%
First_Health_Southcare $1,764 984%
One_Health_Great_West $1,764 984%
Pponext $1,862 1039%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Dan Proctor Drive, Saint Marys, GA 31558
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals