CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Blount Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $445
  • Cash Discount Price: $896
  • vs. Medicare Baseline: 2.48x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Blount Memorial Hospital is $445. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $896. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.48x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.
Cash / Self-Pay
$896

Average discount available for prompt cash payment at this facility.

Insurance Median
$445

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: $896 (500%)
Insurance Median: $445 (248%)
Cash: $896 (500% of Medicare)
Ins. Median: $445 (248% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 248% of the Medicare baseline (a markup of 148%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Medicaid / KanCare $145 - $445 81%
UnitedHealthcare $152 - $445 85%
Blue Cross Blue Shield $165 - $485 92%
Humana $165 92%
Medicare (plans) $165 - $172 92%
Tricare $166 93%
Cigna $172 - $800 96%
Mvp Health Care [3037] $251 140%
Ambetter / Centene $258 144%
Consociate Health Contracted [4835] $366 204%
Fairos/Occunet Contracted [4837] $383 214%
Golden Rule Insurance Company [2991] $410 229%
Oxford Health Plans [2992] $410 229%
Prisma Health Seniorcare Pace - Midlands [5400] $670 374%
Prisma Health Seniorcare Pace-Upstate [5200] $670 374%
Promise Health Plan Contracted [2401] $1,012 - $1,875 565%
Bob Jones Univ-Pai [821] $1,050 586%
Orangeburg Senior Helping Center Pace [5401] $1,156 645%
Preferred Administrators Contracted [2839] $2,023 1129%
Medcost [2940] $2,139 - $2,399 1194%
Atlantic Packaging Contracted [4833] $2,168 1210%
Aps Healthcare System [2981] $2,312 1290%
Multiplan/Phcs Contracted [2950] $2,572 1435%
Aetna $2,601 1451%
Meritain Health Contracted [2200] $2,601 1451%
Nippon [2300] $2,601 1451%
Vsp Vision Care [2986] $2,601 1451%
First Health Contracted [2952] $2,688 1500%
Furman Int/Allen University Student [2951] $2,688 1500%
Quiktrip-First Health [3067] $2,688 1500%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 907 E Lamar Alexander Parkway, Maryville, TN 37804
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals