CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Memorial Mission Hospital and Asheville Surgery Ce

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $2,031
Cash Discount Price: $4,444
vs. Medicare Baseline: 11.33x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Memorial Mission Hospital and Asheville Surgery Ce is $2,031. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,444. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 11.33x the Medicare baseline. Located in 509 Biltmore Ave, Asheville, NC.

Cash / Self-Pay

$4,444

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,031

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: $4,444 (2480%)

Insurance Median: $2,031 (1133%)

Cash: $4,444 (2480% of Medicare)

Ins. Median: $2,031 (1133% 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 1133% of the Medicare baseline (a markup of 1033%). 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 - $2,728	224%
Blue Cross Blue Shield	$785 - $848	438%
Wellcare	$808 - $873	451%
Amerihealth	$816 - $881	455%
Partners Health Management	$824 - $890	460%
Vaya Health	$824 - $890	460%
Apex Health	$855 - $923	477%
Cigna	$1,585 - $2,298	884%
Caresource	$1,880 - $2,031	1049%
Medcost	$2,407 - $3,923	1343%
Magellan	$2,564 - $2,769	1431%
Magellan Behavioral Health	$2,564 - $2,769	1431%
Aetna	$3,090 - $3,337	1724%
Multiplan	$3,419 - $3,692	1908%
Avalon Administrative Services	$3,632 - $3,923	2027%
Prime Health	$3,760 - $4,154	2098%

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 $4,444.
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 Memorial Mission Hospital and Asheville Surgery Ce 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.