CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Athur M Blank Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $3,008
  • Cash Discount Price: $4,388
  • vs. Medicare Baseline: 16.79x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Athur M Blank Hospital is $3,008. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,388. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 16.79x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.
Cash / Self-Pay
$4,388

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,008

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: $4,388 (2449%)
Insurance Median: $3,008 (1679%)
Cash: $4,388 (2449% of Medicare)
Ins. Median: $3,008 (1679% 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 1679% of the Medicare baseline (a markup of 1579%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Peachstate [43] $1,875 1046%
Caresource [61] $1,928 1076%
Amerigroup [102] $2,020 1127%
Cigna $2,900 1618%
Blue Cross Blue Shield $2,911 - $4,284 1624%
United [5] $2,911 1624%
Ambetter / Centene $2,938 1640%
Oscar [228] $2,940 1641%
Aetna $2,953 1648%
Caresource Marketplace Bronze/Silver/Gold [60] $2,982 1664%
Kaiser [6] $2,988 1667%
Sidecar Health [236] $3,028 1690%
Direct Employer Agreements [72] $3,072 - $3,730 1714%
Coventry [9] $3,080 1719%
Northeast Georgia Heatlh System [808] $3,291 1836%
Veracity Benefits [809] $3,291 1836%
First Health [74] $3,294 1838%
Phcs [93] $3,730 2081%
Secure Health [340] $3,730 2081%
Beech Street [71] $3,949 2204%
Multiplan [92] $4,300 2400%
Novanet [41] $4,388 2449%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2220 North Druid Hills Road Ne, Atlanta, GA 30329
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens