CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Tristar Greenview Regional Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $2,222
  • Cash Discount Price: $7,455
  • vs. Medicare Baseline: 12.40x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Tristar Greenview Regional Hospital is $2,222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,455. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 12.40x the Medicare baseline. Located in 1801 Ashley Circle, Bowling Green, KY.
Cash / Self-Pay
$7,455

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,222

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: $7,455 (4160%)
Insurance Median: $2,222 (1240%)
Cash: $7,455 (4160% of Medicare)
Ins. Median: $2,222 (1240% 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 1240% of the Medicare baseline (a markup of 1140%). 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
Southern Kentucky Rehab $109 61%
United $402 - $3,355 224%
Blue Cross Blue Shield $522 291%
Molina $522 291%
Humana $527 - $5,591 294%
Coventry Cares $1,044 583%
Prime Health $1,197 668%
Signature Advantage $1,416 790%
Cigna $2,222 1240%
Occupational Mc Alliance $5,964 3328%
Tim Davis And Associates $5,964 3328%
Up And Up $5,964 3328%
Fortified Provider Network $6,709 3744%
Multiplan $6,709 3744%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1801 Ashley Circle, Bowling Green, KY 42104
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals