CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Highpoint Health-Sumner With Ascension Saint Thoma

Billing Code: 70460 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$349
about 1.9× the $179 Medicare rate · typically $169–$458
modeled estimate · not a bill or quote
What this hospital charges insurers
$289
Below the fair price — a good deal
about $60 under the fair price · 1.6× Medicare
Medicare pays $179 Fair price $349 This hospital $289 Cash price $1,092 Hospital's list price $4,717

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $37 Priciest $289

Black dot = this hospital, among the 9 TN 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 contrast) is about $349 (about 1.9× the $179 Medicare rate). Highpoint Health-Sumner With Ascension Saint Thoma charges insurers about $289, or about $1,092 in cash — below the fair price — a good deal. Located in Gallatin, TN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser 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 $402 224%
Blue Cross Blue Shieldmajor $208 - $225 116%
Cignamajor $289 161%
Health Net $312 174%

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 555 Hartsville Pike, Gallatin, TN 37066
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals