CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Atrium Health Navicent Peach

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $369
Cash Discount Price: $878
vs. Medicare Baseline: 2.06x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Atrium Health Navicent Peach is $369. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $878. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.06x the Medicare baseline. Located in 1960 Highway 247 Connector, Byron, GA.

Cash / Self-Pay

$878

Average discount available for prompt cash payment at this facility.

Insurance Median

$369

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: $878 (490%)

Insurance Median: $369 (206%)

Cash: $878 (490% of Medicare)

Ins. Median: $369 (206% 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 206% of the Medicare baseline (a markup of 106%). 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
Aetna	$65 - $1,036	36%
Blue Cross Blue Shield	$65 - $369	36%
Georgia Health Advantage	$65 - $369	36%
Humana	$65 - $1,493	36%
UnitedHealthcare	$65 - $1,106	36%
Care Source	$66 - $376	37%
Clover	$66 - $376	37%
Eon Health	$66 - $376	37%
Alliant	$68 - $860	38%
Pruitt Health	$68 - $369	38%
Ambetter / Centene	$73 - $896	41%
Cigna	$134 - $1,278	75%
Securehealth	$196 - $1,141	109%
Multiplan	$1,141 - $1,405	637%
Novanet	$1,405	784%
Three Rivers Provider Network	$1,493	833%
Beechstreet	$1,633	911%

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 $878.
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 Atrium Health Navicent Peach 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.