CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Cumberland Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $183
  • Cash Discount Price: $386
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Cumberland Medical Center is $183. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $386. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.02x the Medicare baseline. Located in 421 S Main St, Crossville, TN.
Cash / Self-Pay
$386

Average discount available for prompt cash payment at this facility.

Insurance Median
$183

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: $386 (215%)
Insurance Median: $183 (102%)
Cash: $386 (215% of Medicare)
Ins. Median: $183 (102% 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
Blue Cross Blue Shield $121 - $522 68%
UnitedHealthcare $148 - $941 83%
Farm Bureau $172 96%
Wellpoint $173 - $183 97%
Tricare $174 97%
Humana $179 100%
Aetna $183 - $396 102%
Cigna $183 - $276 102%
Devoted Health $183 102%
Wellcare $183 102%
Ehn $560 313%
Ambetter / Centene $617 344%
Correctional Medical Services $747 417%
Community Services Network $809 451%
Usa Managed Care Organization $872 487%
Novanet $934 521%
Direct Care America $996 556%
Medsave Usa $996 556%
National Provider Network $996 556%
Beech Street $1,058 590%
Ccn Managed Care $1,058 590%
Initial Group $1,096 612%
Galaxy Health Network $1,120 625%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 421 S Main St, Crossville, TN 38555
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals