CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Doctors Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $245
  • Cash Discount Price: $5,841
  • vs. Medicare Baseline: 2.29x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Doctors Hospital is $245. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,841. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.29x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.
Cash / Self-Pay
$5,841

Average discount available for prompt cash payment at this facility.

Insurance Median
$245

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $5,841 (5469%)
Insurance Median: $245 (229%)
Cash: $5,841 (5469% of Medicare)
Ins. Median: $245 (229% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 229% of the Medicare baseline (a markup of 129%). 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
Blue Cross Blue Shield $57 - $212 53%
Health One Alliance $122 114%
Ambetter / Centene $142 133%
Aetna $163 - $3,220 153%
United $245 - $2,628 229%
Prime Health $267 250%
Rockport United Network $273 256%
Identity Mco $279 261%
Blue Choice $306 286%
Amerigroup $829 776%
Absolute Total Care $1,051 984%
Nhc Advantage $1,110 1039%
Pruitt Health $1,110 1039%
Peach State $1,168 1094%
Wellcare $1,168 1094%
Americas 1St Choice $1,636 1532%
Medcost $2,926 - $3,732 2739%
Multiplan $3,505 - $5,257 3282%
Performax $3,972 3719%
First Health $4,381 4102%
Employer'S Health Network $4,673 4375%
Novanet $5,257 4922%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3651 Wheeler Road, Augusta, GA 30909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals