CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Newberry County Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $388
  • Cash Discount Price: $1,177
  • vs. Medicare Baseline: 2.17x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Newberry County Memorial Hospital is $388. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,177. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.17x the Medicare baseline. Located in 2669 Kinard St Po Box 497, Newberry, SC.
Cash / Self-Pay
$1,177

Average discount available for prompt cash payment at this facility.

Insurance Median
$388

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: $1,177 (657%)
Insurance Median: $388 (217%)
Cash: $1,177 (657% of Medicare)
Ins. Median: $388 (217% 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 217% of the Medicare baseline (a markup of 117%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Cigna $79 - $2,536 44%
Aetna $174 - $2,154 97%
Blue Cross Blue Shield $174 - $2,148 97%
Devoted Health $179 100%
Humana $179 - $2,051 100%
Medicare (plans) $179 - $184 100%
Ambetter / Centene $183 102%
Molina Marketplace $183 102%
Medicaid / KanCare $370 - $2,051 206%
Self Pay $1,177 657%
UnitedHealthcare $2,396 1337%
United Payers And United Providers (Up & Up) $2,959 1651%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2669 Kinard St Po Box 497, Newberry, SC 29108
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals