CMS Price Transparency Data
CT scan, head (with and without contrast)
Facility: Cannon Memorial Hospital
Billing Code: 70470 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70470
- Insurance Median: $158
- Cash Discount Price: $168
- vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Cannon Memorial Hospital is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.88x the Medicare baseline. Located in 123 W G Acker Drive, Pickens, SC.
Cash / Self-Pay
$168
Average discount available for prompt cash payment at this facility.
Insurance Median
$158
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: $168 (94%)
Insurance Median: $158 (88%)
Cash: $168 (94% of Medicare)
Ins. Median: $158 (88% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Phcs [940] | $21 - $2,145 | 12% |
| Medicaid / KanCare | $44 - $3,250 | 25% |
| Humana | $47 - $2,340 | 26% |
| Select Health Of Sc [637] | $51 - $1,243 | 28% |
| Aetna | $55 - $1,846 | 31% |
| Blue Choice Health Plan [922] | $55 - $1,866 | 31% |
| Blue Cross Blue Shield | $55 - $3,088 | 31% |
| Medicare (plans) | $55 - $3,250 | 31% |
| UnitedHealthcare | $55 - $3,250 | 31% |
| Vaccn - Va Community Care Network [16] | $55 - $158 | 31% |
| Veterans Administration [633] | $55 - $158 | 31% |
| Devoted Health Alt Payer [9401] | $56 - $161 | 31% |
| Devoted Health [94] | $56 - $161 | 31% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $57 - $164 | 32% |
| Absolute Total Care Mcr Plans [41] | $57 - $164 | 32% |
| Cigna | $57 - $3,250 | 32% |
| Molina Dual Options Alt Payer [1501] | $57 - $163 | 32% |
| Molina Dual Options [15] | $57 - $163 | 32% |
| Absolute Total Care [58] | $58 - $1,305 | 32% |
| Champva [604] | $58 - $166 | 32% |
| First Choice Vip Careplus Alt Payer [3301] | $58 - $166 | 32% |
| First Choice Vip [33] | $58 - $166 | 32% |
| Nhc Advantage Alt Payer [6101] | $58 - $166 | 32% |
| Nhc Advantage [61] | $58 - $166 | 32% |
| Tricare | $58 - $166 | 32% |
| Bright Health Alt Payer [1001] | $65 - $190 | 36% |
| Geha [302] | $75 - $1,732 | 42% |
| Golden Rule Ins Co [584] | $75 - $1,732 | 42% |
| Ambetter / Centene | $79 - $226 | 44% |
| First Choice Next [96] | $80 - $229 | 45% |
| Molina Marketplace [97] | $80 - $229 | 45% |
| Bright Health [11] | $81 - $234 | 45% |
| Mail Handlers Benefit Plan [327] | $88 - $1,846 | 49% |
| Rural Carrier Benefit Plan [406] | $88 - $1,846 | 49% |
| Workers Compensation [622] | $90 - $256 | 50% |
| Edison Health Solutions [95] | $96 - $277 | 54% |
| Healthscope [98] | $96 - $277 | 54% |
| Employee Benefit Management Services [869] | $98 - $910 | 55% |
| Nalc Health Benefit Plan [291] | $100 - $1,934 | 56% |
| Planned Administrators [886] | $117 - $1,661 | 65% |
| Preferred Administrators [19] | $122 - $1,950 | 68% |
| Thomas Cooper & Company [315] | $147 - $1,661 | 82% |
| Medcost [206] | $148 - $2,925 | 83% |
| Other Hospital Payers [1991] | $205 - $3,250 | 114% |
| Coventry Health [245] | $2,031 - $2,340 | 1133% |
| American Continental Ins [778] | $3,250 | 1814% |
| American Republic Life Ins [722] | $3,250 | 1814% |
| Business Office [6000] | $3,250 | 1814% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $3,250 | 1814% |
| First Health [946] | $3,250 | 1814% |
| Guarantee Trust Life Insurance [236] | $3,250 | 1814% |
| Home Health Infusion Payer [6001] | $3,250 | 1814% |
| Manhattan Life Ins Co [932] | $3,250 | 1814% |
| Miscellaneous Commercial [1] | $3,250 | 1814% |
| New Era Life Ins Co [437] | $3,250 | 1814% |
| Non-Contracted [22] | $3,250 | 1814% |
| Physicians Mutual [773] | $3,250 | 1814% |
| Reference Based Pricing/Limited Plan [21] | $3,250 | 1814% |
| State Farm Ins Co [373] | $3,250 | 1814% |
| Sterling Investors Life [244] | $3,250 | 1814% |
| Supermed/Med Mutual Of Ohio [539] | $3,250 | 1814% |
| United American Ins Co [277] | $3,250 | 1814% |