CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Navicent Health Baldwin

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $173
Cash Discount Price: $721
vs. Medicare Baseline: 0.97x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Navicent Health Baldwin is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $721. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.97x the Medicare baseline. Located in 821 North Cobb Street, Milledgeville, GA.

Cash / Self-Pay

$721

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: $721 (402%)

Insurance Median: $173 (97%)

Cash: $721 (402% 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.

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
Aetna	$50 - $1,197	28%
Blue Cross Blue Shield	$50 - $1,082	28%
Georgia Health Advantage	$50 - $173	28%
Humana	$50 - $1,226	28%
UnitedHealthcare	$50 - $2,193	28%
Care Source	$51 - $177	28%
Clover	$51 - $177	28%
Eon Health	$51 - $177	28%
Pruitt Health	$53 - $173	30%
Alliant	$60 - $812	33%
Ambetter / Centene	$68 - $735	38%
Cigna	$119 - $1,110	66%
Securehealth	$153 - $585	85%
Multiplan	$937 - $1,154	523%
Novanet	$1,154	644%
Three Rivers Provider Network	$1,226	684%

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 $721.
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 Navicent Health Baldwin 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.