CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Jeff Davis Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $897
Cash Discount Price: $419
vs. Medicare Baseline: 5.01x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Jeff Davis Hospital is $897. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $419. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.01x the Medicare baseline. Located in 163 South Tallahassee Street, Hazlehurst, GA.

Cash / Self-Pay

$419

Average discount available for prompt cash payment at this facility.

Insurance Median

$897

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: $419 (234%)

Insurance Median: $897 (501%)

Cash: $419 (234% of Medicare)

Ins. Median: $897 (501% 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 501% of the Medicare baseline (a markup of 401%). 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	$215	120%
Medicaid / KanCare	$233 - $641	130%
Humana	$238 - $1,017	133%
Peach_State	$238	133%
Wellcare	$238	133%
Medicare (plans)	$371 - $374	207%
Blue Cross Blue Shield	$378 - $897	211%
Care_Improvement_Plus	$378	211%
Coventry_Hmo	$837	467%
Coventry_Pos	$837	467%
Uhc_Hmo	$897	501%
Uhc_Indemnity	$897	501%
Uhc_Ppo	$897	501%
Coventry_Ppo	$921	514%
Beech_Street	$957	534%
Care_Source	$957	534%
Cigna	$957	534%
One_Health_Ppo	$957	534%
Choicecare	$1,017	568%
Community_Care_Network	$1,017	568%
Georgia_Hospital_Network	$1,017	568%
Industry_Buying_Group	$1,017	568%
Novanet	$1,017	568%
Principal_Health_Care_Of_Georgia	$1,017	568%
Three_Rivers_Provider_Network	$1,017	568%
Usa_Managed_Care	$1,017	568%
Memorial_Health_Partners	$1,076	600%
Tricare	$1,112	621%
Multiplan	$1,136	634%

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 $419.
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 Jeff Davis 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.