CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Sycamore Shoals Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $351
  • Cash Discount Price: $560
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Sycamore Shoals Hospital is $351. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $560. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.96x the Medicare baseline. Located in 1501 West Elk Avenue, Elizabethton, TN.
Cash / Self-Pay
$560

Average discount available for prompt cash payment at this facility.

Insurance Median
$351

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: $560 (313%)
Insurance Median: $351 (196%)
Cash: $560 (313% of Medicare)
Ins. Median: $351 (196% 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
Aetna $159 - $2,380 89%
Amerigroup $159 - $233 89%
Humana $159 89%
Managed Medicaire $159 89%
Medicare (plans) $159 89%
Sentara Health $159 - $1,038 89%
United Mine Workers Of America $159 89%
UnitedHealthcare $159 - $3,731 89%
Blue Cross Blue Shield $164 - $611 92%
Molina Healthcare $166 - $459 93%
Cigna $167 - $542 93%
Devoted Health Plan $167 93%
Nhc Advantage $167 93%
Wellcare $169 - $3,731 94%
Ambetter / Centene $347 194%
Optima Health $442 247%
Medcost $1,306 729%
First Health Coventry $2,798 1561%
Seven Corners, Inc. $3,731 2082%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1501 West Elk Avenue, Elizabethton, TN 37643
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals