CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Children's Healthcare of Atlanta at Scottish Rite

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $1,722
Cash Discount Price: $2,512
vs. Medicare Baseline: 16.12x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Children's Healthcare of Atlanta at Scottish Rite is $1,722. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,512. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 16.12x the Medicare baseline. Located in 1001 Johnson Ferry Road, Atlanta, GA.

Cash / Self-Pay

$2,512

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,722

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: $2,512 (2352%)

Insurance Median: $1,722 (1612%)

Cash: $2,512 (2352% of Medicare)

Ins. Median: $1,722 (1612% 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 1612% of the Medicare baseline (a markup of 1512%). 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]	$1,050	983%
Caresource [61]	$1,079	1010%
Amerigroup [102]	$1,090	1021%
Cigna	$1,660	1554%
Blue Cross Blue Shield	$1,667 - $2,452	1561%
United [5]	$1,667	1561%
Ambetter / Centene	$1,682	1575%
Oscar [228]	$1,683	1576%
Aetna	$1,691	1583%
Caresource Marketplace Bronze/Silver/Gold [60]	$1,707	1598%
Kaiser [6]	$1,710	1601%
Sidecar Health [236]	$1,733	1623%
Direct Employer Agreements [72]	$1,758 - $2,135	1646%
Coventry [9]	$1,763	1651%
Northeast Georgia Heatlh System [808]	$1,884	1764%
Veracity Benefits [809]	$1,884	1764%
First Health [74]	$1,886	1766%
Phcs [93]	$2,135	1999%
Secure Health [340]	$2,135	1999%
Beech Street [71]	$2,261	2117%
Multiplan [92]	$2,462	2305%
Novanet [41]	$2,512	2352%

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 $2,512.
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 Children's Healthcare of Atlanta at Scottish Rite 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.