CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: High Point Regional Health System

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,590
Cash Discount Price: $1,891
vs. Medicare Baseline: 8.87x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at High Point Regional Health System is $1,590. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,891. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 8.87x the Medicare baseline. Located in 601 N Elm St, High Point, NC.

Cash / Self-Pay

$1,891

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,590

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: $1,891 (1055%)

Insurance Median: $1,590 (887%)

Cash: $1,891 (1055% of Medicare)

Ins. Median: $1,590 (887% 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 887% of the Medicare baseline (a markup of 787%). 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
Amerihealth	$548 - $1,227	306%
Carolina Complete	$548	306%
Healthy Blue	$548	306%
Partners	$548	306%
UnitedHealthcare	$554 - $4,079	309%
Vaya	$554	309%
Wellcare	$554	309%
Alliance	$559	312%
Trillium	$565	315%
Medcost	$1,013 - $2,424	565%
Aetna	$1,127 - $2,458	629%
Oscar	$1,134 - $1,512	633%
Ambetter / Centene	$1,210	675%
Blue Cross Blue Shield	$1,281 - $2,056	715%
Cigna	$2,076	1158%
Directnet	$2,235	1247%
Private Healthcare Systems	$3,100	1730%
Multiplan	$3,403	1899%
Humana	$3,516 - $3,592	1962%

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 $1,891.
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 High Point Regional Health System 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.