CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Morristown Hamblen Hospital Association

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $171
Cash Discount Price: $386
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Morristown Hamblen Hospital Association is $171. 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 0.95x the Medicare baseline. Located in 908 W 4Th North St, Morristown, TN.

Cash / Self-Pay

$386

Average discount available for prompt cash payment at this facility.

Insurance Median

$171

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: $171 (95%)

Cash: $386 (215% of Medicare)

Ins. Median: $171 (95% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$124 - $374	69%
Farm Bureau	$160	89%
Tricare	$163	91%
Wellpoint	$166 - $171	93%
Humana	$167	93%
Aetna	$171 - $396	95%
Cigna	$171 - $276	95%
Devoted Health	$171	95%
Wellcare	$171	95%
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

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $386.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Morristown Hamblen Hospital Association is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.