CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Memorial Mission Hospital and Asheville Surgery Ce

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $2,724
Cash Discount Price: $5,961
vs. Medicare Baseline: 15.20x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Memorial Mission Hospital and Asheville Surgery Ce is $2,724. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,961. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 15.20x the Medicare baseline. Located in 509 Biltmore Ave, Asheville, NC.

Cash / Self-Pay

$5,961

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,724

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: $5,961 (3326%)

Insurance Median: $2,724 (1520%)

Cash: $5,961 (3326% of Medicare)

Ins. Median: $2,724 (1520% 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 1520% of the Medicare baseline (a markup of 1420%). 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	$402 - $3,658	224%
Blue Cross Blue Shield	$1,053 - $1,137	588%
Wellcare	$1,084 - $1,171	605%
Amerihealth	$1,095 - $1,182	611%
Partners Health Management	$1,106 - $1,194	617%
Vaya Health	$1,106 - $1,194	617%
Apex Health	$1,146 - $1,238	640%
Cigna	$2,126 - $3,083	1186%
Caresource	$2,522 - $2,724	1407%
Medcost	$3,229 - $5,262	1802%
Magellan	$3,439 - $3,714	1919%
Magellan Behavioral Health	$3,439 - $3,714	1919%
Aetna	$4,144 - $4,476	2313%
Multiplan	$4,585 - $4,952	2559%
Avalon Administrative Services	$4,872 - $5,262	2719%
Prime Health	$5,044 - $5,571	2815%

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 $5,961.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

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 70470.
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.