CMS Price Transparency Data

CT scan, head (no contrast)

Facility: St Marys Good Samaritan Hospital

Billing Code: 70450 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$379
about 3.5× the $107 Medicare rate · typically $118–$986
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $379 Cash price $1,129 Hospital's list price $1,737

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $469 - $2,632 439%
Blue Cross Blue Shieldmajor $336 - $1,255 315%
Aetnamajor $469 - $1,390 439%
Cignamajor $469 - $1,424 439%
Humanamajor $469 - $1,303 439%
Kaiser Permanentemajor $469 439%
Ambetter (Centene) $469 439%
Amerigroup $1,737 1626%
CareSource $469 439%
Molina $469 439%
WellCare $204 - $469 191%
+ 5 smaller / regional plans $469 - $1,563
Government programs also on file: Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 5401 Lake Oconee Parkway, Greensboro, GA 30642
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals