CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Tristar Greenview Regional Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $2,093
Cash Discount Price: $7,025
vs. Medicare Baseline: 11.68x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Tristar Greenview Regional Hospital is $2,093. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,025. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 11.68x the Medicare baseline. Located in 1801 Ashley Circle, Bowling Green, KY.

Cash / Self-Pay

$7,025

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,093

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: $7,025 (3920%)

Insurance Median: $2,093 (1168%)

Cash: $7,025 (3920% of Medicare)

Ins. Median: $2,093 (1168% 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 1168% of the Medicare baseline (a markup of 1068%). 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
Southern Kentucky Rehab	$90	50%
United	$402 - $3,161	224%
Blue Cross Blue Shield	$492	275%
Molina	$492	275%
Humana	$497 - $5,269	277%
Coventry Cares	$984	549%
Prime Health	$1,128	629%
Signature Advantage	$1,335	745%
Cigna	$2,093	1168%
Occupational Mc Alliance	$5,620	3136%
Tim Davis And Associates	$5,620	3136%
Up And Up	$5,620	3136%
Fortified Provider Network	$6,323	3528%
Multiplan	$6,323	3528%

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 $7,025.
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 Tristar Greenview Regional 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.