CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Blount Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $388
  • Cash Discount Price: $507
  • vs. Medicare Baseline: 2.17x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Blount Memorial Hospital is $388. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $507. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.17x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.
Cash / Self-Pay
$507

Average discount available for prompt cash payment at this facility.

Insurance Median
$388

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: $507 (283%)
Insurance Median: $388 (217%)
Cash: $507 (283% of Medicare)
Ins. Median: $388 (217% 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 217% of the Medicare baseline (a markup of 117%). 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
UnitedHealthcare $129 - $410 72%
Medicaid / KanCare $145 - $252 81%
Blue Cross Blue Shield $165 - $392 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%
Prisma Health Seniorcare Pace - Midlands [5400] $379 211%
Prisma Health Seniorcare Pace-Upstate [5200] $379 211%
Fairos/Occunet Contracted [4837] $383 214%
Golden Rule Insurance Company [2991] $410 229%
Oxford Health Plans [2992] $410 229%
Promise Health Plan Contracted [2401] $572 - $1,875 319%
Orangeburg Senior Helping Center Pace [5401] $654 365%
Bob Jones Univ-Pai [821] $937 523%
Preferred Administrators Contracted [2839] $1,144 638%
Medcost [2940] $1,210 - $1,357 675%
Atlantic Packaging Contracted [4833] $1,226 684%
Aps Healthcare System [2981] $1,308 730%
Multiplan/Phcs Contracted [2950] $1,455 812%
Aetna $1,472 821%
Meritain Health Contracted [2200] $1,472 821%
Nippon [2300] $1,472 821%
Vsp Vision Care [2986] $1,472 821%
First Health Contracted [2952] $1,521 849%
Furman Int/Allen University Student [2951] $1,521 849%
Quiktrip-First Health [3067] $1,521 849%

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