CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Ascension Providence Hospital, Southfield and Novi

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $174
Cash Discount Price: $626
vs. Medicare Baseline: 0.97x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Ascension Providence Hospital, Southfield and Novi is $174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $626. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.97x the Medicare baseline. Located in 16001 W Nine Mile Rd, Southfield, MI.

Cash / Self-Pay

$626

Average discount available for prompt cash payment at this facility.

Insurance Median

$174

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: $626 (349%)

Insurance Median: $174 (97%)

Cash: $626 (349% of Medicare)

Ins. Median: $174 (97% 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.

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
Blue Caid Michigan	$101	56%
Harbor Health Mcd	$101	56%
Medicaid / KanCare	$101 - $174	56%
Molina Health	$101 - $125	56%
Total Health Care	$101	56%
UnitedHealthcare	$101	56%
Priority Ppo	$106	59%
Priority Health Hmo	$124	69%
Amerihealth Vip Care Mcr	$150 - $173	84%
Bc Metro Detroit Epo	$158 - $209	88%
Hap Alliance Health	$166	93%
Hap Hmo Pos	$166	93%
Aetna	$174 - $312	97%
Auto Insurance	$174	97%
Jvhl - Mcr Replacement	$174	97%
Mcr Replacement	$174	97%
Veterans Choice	$174	97%
Humana	$176	98%
Bc Metro Detroit Hmo	$178 - $209	99%
Meridian Wellcare	$183	102%
Molina Advantage	$183	102%
Hap Preferred	$196	109%
Bcn Local Network Southeast	$206 - $209	115%
Blue Care Network	$206 - $209	115%
Blue Cross Blue Shield	$206 - $209	115%
Ambetter / Centene	$218	122%
Molina Marketplace	$218	122%
Smart Health	$241	134%

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 $626.
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 Ascension Providence Hospital, Southfield and Novi 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.