CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Jeff Davis Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $1,019
Cash Discount Price: $476
vs. Medicare Baseline: 9.54x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Jeff Davis Hospital is $1,019. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $476. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.54x the Medicare baseline. Located in 163 South Tallahassee Street, Hazlehurst, GA.

Cash / Self-Pay

$476

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,019

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $476 (446%)

Insurance Median: $1,019 (954%)

Cash: $476 (446% of Medicare)

Ins. Median: $1,019 (954% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 954% of the Medicare baseline (a markup of 854%). 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
Pen_Network	$154	144%
Medicaid / KanCare	$265 - $728	248%
Humana	$270 - $1,155	253%
Peach_State	$270	253%
Wellcare	$270	253%
Medicare (plans)	$421 - $426	394%
Blue Cross Blue Shield	$430 - $1,019	403%
Care_Improvement_Plus	$430	403%
Coventry_Hmo	$951	890%
Coventry_Pos	$951	890%
Uhc_Hmo	$1,019	954%
Uhc_Indemnity	$1,019	954%
Uhc_Ppo	$1,019	954%
Coventry_Ppo	$1,046	979%
Beech_Street	$1,087	1018%
Care_Source	$1,087	1018%
Cigna	$1,087	1018%
One_Health_Ppo	$1,087	1018%
Choicecare	$1,155	1081%
Community_Care_Network	$1,155	1081%
Georgia_Hospital_Network	$1,155	1081%
Industry_Buying_Group	$1,155	1081%
Novanet	$1,155	1081%
Principal_Health_Care_Of_Georgia	$1,155	1081%
Three_Rivers_Provider_Network	$1,155	1081%
Usa_Managed_Care	$1,155	1081%
Memorial_Health_Partners	$1,223	1145%
Tricare	$1,264	1183%
Multiplan	$1,291	1209%

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 $476.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Jeff Davis Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.