CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Prisma Health Tuomey Hospital

Billing Code: 70470 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$364
about 2.0× the $179 Medicare rate · typically $199–$405
modeled estimate · not a bill or quote
What this hospital charges insurers
$406
About the fair price
about $42 over the fair price · 2.3× Medicare
Medicare pays $179 Fair price $364 This hospital $406 Cash price $1,969 Hospital's list price $3,029

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $103 Priciest $406

Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, head (with and without contrast) is about $364 (about 2.0× the $179 Medicare rate). Prisma Health Tuomey Hospital charges insurers about $406, or about $1,969 in cash — about the fair price. Located in Sumter, SC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $170 - $466 95%
Blue Cross Blue Shieldmajor $164 - $1,781 92%
Aetnamajor $172 - $2,393 96%
Cignamajor $164 - $2,258 92%
Humanamajor $164 - $2,272 92%
Ambetter (Centene) $302 169%
Molina $172 96%
WellCare $172 96%
+ 16 smaller / regional plans $172 - $2,817
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 129 N Washington St, Sumter, SC 29150
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals