CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Memorial Mission Hospital and Asheville Surgery Ce

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $1,882
Cash Discount Price: $4,118
vs. Medicare Baseline: 17.62x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Memorial Mission Hospital and Asheville Surgery Ce is $1,882. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,118. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.62x the Medicare baseline. Located in 509 Biltmore Ave, Asheville, NC.

Cash / Self-Pay

$4,118

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,882

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: $4,118 (3855%)

Insurance Median: $1,882 (1762%)

Cash: $4,118 (3855% of Medicare)

Ins. Median: $1,882 (1762% 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 1762% of the Medicare baseline (a markup of 1662%). 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
United	$245 - $2,527	229%
Blue Cross Blue Shield	$727 - $786	681%
Wellcare	$749 - $809	701%
Amerihealth	$756 - $817	708%
Partners Health Management	$764 - $825	715%
Vaya Health	$764 - $825	715%
Apex Health	$792 - $855	742%
Cigna	$1,469 - $2,130	1375%
Caresource	$1,742 - $1,882	1631%
Medcost	$2,230 - $3,635	2088%
Magellan	$2,376 - $2,566	2225%
Magellan Behavioral Health	$2,376 - $2,566	2225%
Aetna	$2,863 - $3,092	2680%
Multiplan	$3,168 - $3,421	2966%
Avalon Administrative Services	$3,366 - $3,635	3151%
Prime Health	$3,485 - $3,849	3263%

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 $4,118.
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 Memorial Mission Hospital and Asheville Surgery Ce 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.