CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Doctors Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $402
Cash Discount Price: $7,320
vs. Medicare Baseline: 2.24x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Doctors Hospital is $402. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,320. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.24x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.

Cash / Self-Pay

$7,320

Average discount available for prompt cash payment at this facility.

Insurance Median

$402

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: $7,320 (4085%)

Insurance Median: $402 (224%)

Cash: $7,320 (4085% of Medicare)

Ins. Median: $402 (224% 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 224% of the Medicare baseline (a markup of 124%). 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
Blue Cross Blue Shield	$85 - $344	47%
Health One Alliance	$200	112%
Ambetter / Centene	$239	133%
Aetna	$285 - $4,036	159%
United	$402 - $3,294	224%
Prime Health	$448	250%
Rockport United Network	$457	255%
Blue Choice	$459	256%
Identity Mco	$466	260%
Amerigroup	$1,039	580%
Absolute Total Care	$1,318	735%
Nhc Advantage	$1,391	776%
Pruitt Health	$1,391	776%
Peach State	$1,464	817%
Wellcare	$1,464	817%
Americas 1St Choice	$2,050	1144%
Medcost	$3,667 - $4,678	2046%
Multiplan	$4,392 - $6,588	2451%
Performax	$4,978	2778%
First Health	$5,490	3064%
Employer'S Health Network	$5,856	3268%
Novanet	$6,588	3676%

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 $7,320.
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 Doctors 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.