CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Doctors Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $367
Cash Discount Price: $6,265
vs. Medicare Baseline: 2.05x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Doctors Hospital is $367. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,265. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.05x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.

Cash / Self-Pay

$6,265

Average discount available for prompt cash payment at this facility.

Insurance Median

$367

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: $6,265 (3496%)

Insurance Median: $367 (205%)

Cash: $6,265 (3496% of Medicare)

Ins. Median: $367 (205% 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 205% of the Medicare baseline (a markup of 105%). 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	$76 - $295	42%
Health One Alliance	$170	95%
Aetna	$237 - $3,454	132%
Ambetter / Centene	$239	133%
Blue Choice	$367	205%
United	$402 - $2,819	224%
Prime Health	$448	250%
Rockport United Network	$457	255%
Identity Mco	$466	260%
Amerigroup	$890	497%
Absolute Total Care	$1,128	629%
Nhc Advantage	$1,190	664%
Pruitt Health	$1,190	664%
Peach State	$1,253	699%
Wellcare	$1,253	699%
Americas 1St Choice	$1,754	979%
Medcost	$3,139 - $4,003	1752%
Multiplan	$3,759 - $5,639	2098%
Performax	$4,260	2377%
First Health	$4,699	2622%
Employer'S Health Network	$5,012	2797%
Novanet	$5,639	3147%

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 $6,265.
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 Doctors Hospital 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.