CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Athur M Blank Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $2,499
Cash Discount Price: $3,646
vs. Medicare Baseline: 13.95x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Athur M Blank Hospital is $2,499. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,646. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 13.95x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$3,646

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,499

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: $3,646 (2035%)

Insurance Median: $2,499 (1395%)

Cash: $3,646 (2035% of Medicare)

Ins. Median: $2,499 (1395% 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 1395% of the Medicare baseline (a markup of 1295%). 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
Peachstate [43]	$1,558	869%
Caresource [61]	$1,602	894%
Amerigroup [102]	$1,678	936%
Cigna	$2,410	1345%
Blue Cross Blue Shield	$2,419 - $3,559	1350%
United [5]	$2,419	1350%
Ambetter / Centene	$2,441	1362%
Oscar [228]	$2,443	1363%
Aetna	$2,454	1369%
Caresource Marketplace Bronze/Silver/Gold [60]	$2,477	1382%
Kaiser [6]	$2,483	1386%
Sidecar Health [236]	$2,516	1404%
Direct Employer Agreements [72]	$2,552 - $3,099	1424%
Coventry [9]	$2,559	1428%
Northeast Georgia Heatlh System [808]	$2,734	1526%
Veracity Benefits [809]	$2,734	1526%
First Health [74]	$2,737	1527%
Phcs [93]	$3,099	1729%
Secure Health [340]	$3,099	1729%
Beech Street [71]	$3,281	1831%
Multiplan [92]	$3,573	1994%
Novanet [41]	$3,646	2035%

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 $3,646.
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 Athur M Blank 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.