CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: St Marys Good Samaritan Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $600
Cash Discount Price: $1,446
vs. Medicare Baseline: 3.35x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at St Marys Good Samaritan Hospital is $600. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,446. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.35x the Medicare baseline. Located in 5401 Lake Oconee Parkway, Greensboro, GA.

Cash / Self-Pay

$1,446

Average discount available for prompt cash payment at this facility.

Insurance Median

$600

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: $1,446 (807%)

Insurance Median: $600 (335%)

Cash: $1,446 (807% of Medicare)

Ins. Median: $600 (335% 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 335% of the Medicare baseline (a markup of 235%). 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
Peach State	$306	171%
Wellcare	$306 - $600	171%
Blue Cross Blue Shield	$430 - $1,607	240%
Aetna	$600 - $1,779	335%
Ambetter / Centene	$600	335%
Care Improvement Plus	$600	335%
Caresource	$600	335%
Cigna	$600 - $1,824	335%
Coventry	$600 - $1,668	335%
Eon Health Plan	$600	335%
Humana	$600 - $1,668	335%
Kaiser Permanente	$600	335%
Molina	$600	335%
Pruitthealth Premier	$600	335%
Todays Options Pffs	$600	335%
Todays Options Ppo	$600	335%
UnitedHealthcare	$600 - $2,632	335%
Vaccn United	$600	335%
First Health	$1,668	931%
Phcs	$1,668	931%
Meritain	$1,779	993%
Multiplan	$1,890 - $1,935	1055%
Nova	$1,890 - $2,002	1055%
Three Rivers Provider Network	$2,002	1117%
Amerigroup	$2,224	1241%

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 $1,446.
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 St Marys Good Samaritan 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.