CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Prisma Health North Greenville Ltach

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $286
  • Cash Discount Price: $1,723
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Prisma Health North Greenville Ltach is $286. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,723. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.60x the Medicare baseline. Located in 807 N Main St, Travelers Rest, SC.
Cash / Self-Pay
$1,723

Average discount available for prompt cash payment at this facility.

Insurance Median
$286

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: $1,723 (961%)
Insurance Median: $286 (160%)
Cash: $1,723 (961% of Medicare)
Ins. Median: $286 (160% 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.

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
Tricare $166 93%
Blue Cross Blue Shield $168 - $1,429 94%
Champva [3049] $168 94%
Cigna $168 - $2,365 94%
Covid19 Hrsa Uninsured Testing & Treatment Fund [904] $168 94%
Deseret Mutual Ins Co [3066] $168 94%
Generic Skilled Nursing [3196] $168 94%
Hospice Contracted [1500] $168 94%
Hospice Non Contracted [3190] $168 94%
Medicare (plans) $168 - $275 94%
Triwest Healthcare Alliance Vcp [902] $168 94%
Va Community Care Network-Vaccn [903] $168 94%
Veterans Administration [3194] $168 94%
Humana $171 - $294 95%
UnitedHealthcare $174 - $851 97%
Aetna $176 - $2,094 98%
Healthy Conn Prime-Wellcare Prime By Atc [5310] $176 98%
Healthy Conn Prime-First Choice Vip Care [5300] $178 99%
Healthy Conn Prime-Molina Healthcare [5330] $185 103%
Workers Comp [600] $235 131%
First Choice Benefits Mgmt [3074] $275 153%
Medicaid / KanCare $275 - $408 153%
Ambetter / Centene $309 172%
Scdc-Sc Dept Of Corrections [7232] $608 339%
Prisma Health Seniorcare Pace - Midlands [5400] $615 343%
Prisma Health Seniorcare Pace-Upstate [5200] $615 343%
Bluechoice [810] $755 - $1,506 421%
Golden Rule Insurance Company [2991] $851 475%
Oxford Health Plans [2992] $851 475%
Zzumr-Salt Lake City Ut [3169] $851 475%
Promise Health Plan Contracted [2401] $928 - $1,875 518%
Bob Jones Univ-Pai [821] $937 523%
Orangeburg Senior Helping Center Pace [5401] $1,060 592%
Planned Administrators [820] $1,429 797%
Meritain Health Contracted [2200] $1,696 - $2,094 946%
Preferred Administrators Contracted [2839] $1,855 1035%
Medcost [2940] $1,961 - $2,200 1094%
Atlantic Packaging Contracted [4833] $1,988 1109%
Aps Healthcare System [2981] $2,120 1183%
Multiplan/Phcs Contracted [2950] $2,358 1316%
Evernorth Behavioral Contracted [2982] $2,365 1320%
Mvp Health Care [3037] $2,365 1320%
Vsp Vision Care [2986] $2,385 1331%
First Health Contracted [2952] $2,464 1375%
Furman Int/Allen University Student [2951] $2,464 1375%
Quiktrip-First Health [3067] $2,464 1375%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 807 N Main St, Travelers Rest, SC 29690
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL