CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Newberry County Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $311
Cash Discount Price: $1,074
vs. Medicare Baseline: 1.74x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Newberry County Memorial Hospital is $311. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,074. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.74x the Medicare baseline. Located in 2669 Kinard St Po Box 497, Newberry, SC.

Cash / Self-Pay

$1,074

Average discount available for prompt cash payment at this facility.

Insurance Median

$311

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: $1,074 (599%)

Insurance Median: $311 (174%)

Cash: $1,074 (599% of Medicare)

Ins. Median: $311 (174% 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

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
Cigna	$79 - $2,314	44%
Aetna	$174 - $1,966	97%
Blue Cross Blue Shield	$174 - $1,960	97%
Devoted Health	$179	100%
Humana	$179 - $1,872	100%
Medicare (plans)	$179 - $184	100%
Ambetter / Centene	$183	102%
Molina Marketplace	$183	102%
Medicaid / KanCare	$296 - $1,872	165%
Self Pay	$1,074	599%
UnitedHealthcare	$2,187	1220%
United Payers And United Providers (Up & Up)	$2,701	1507%

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 $1,074.
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 Newberry County Memorial Hospital 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.