CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Southern Regional Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $180
  • Cash Discount Price: $175
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Southern Regional Medical Center is $180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $175. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.00x the Medicare baseline. Located in 11 Upper Riverdale Road, Sw, Riverdale, GA.
Cash / Self-Pay
$175

Average discount available for prompt cash payment at this facility.

Insurance Median
$180

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: $175 (98%)
Insurance Median: $180 (100%)
Cash: $175 (98% of Medicare)
Ins. Median: $180 (100% 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
Humana $166 - $350 93%
Aetna $175 - $3,493 98%
Americas Choice Provider Network $175 98%
Blue Cross Blue Shield $175 - $206 98%
Cigna $175 - $365 98%
Clear Spring Health Plan $175 98%
Corvel $175 98%
Georgia Workers’ Compensation $175 98%
Medicare (plans) $175 98%
Multiplan $175 98%
Novanet $175 98%
Prime Health Services $175 98%
Provider Select $175 98%
Riverwood Behavioral Health $175 - $219 98%
Three Rivers $175 98%
Tricare $175 98%
UnitedHealthcare $175 98%
Caresource $180 - $306 100%
Devoted Health $180 100%
Peach State $180 - $210 100%
Sonder Health Plan $184 103%
Wellcare $184 103%
Oscar Health Plan $228 127%
Employer Direct Healthcare $245 137%
Centurion $263 147%
Naphcare $271 151%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11 Upper Riverdale Road, Sw, Riverdale, GA 30274
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals