CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Hawkins County Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $408
  • Cash Discount Price: $588
  • vs. Medicare Baseline: 2.28x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Hawkins County Memorial Hospital is $408. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $588. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.28x the Medicare baseline. Located in 851 Locust Street, Rogersville, TN.
Cash / Self-Pay
$588

Average discount available for prompt cash payment at this facility.

Insurance Median
$408

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: $588 (328%)
Insurance Median: $408 (228%)
Cash: $588 (328% of Medicare)
Ins. Median: $408 (228% 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 228% of the Medicare baseline (a markup of 128%). 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
Aetna $159 - $1,673 89%
Humana $159 89%
Managed Medicaire $159 89%
Medicare (plans) $159 89%
Sentara Health $159 - $1,011 89%
United Mine Workers Of America $159 89%
UnitedHealthcare $159 - $3,026 89%
Blue Cross Blue Shield $164 - $490 92%
Amerigroup $166 93%
Cigna $167 - $642 93%
Devoted Health Plan $167 93%
Molina Healthcare $167 - $464 93%
Mountain Empire Pace $167 93%
Nhc Advantage $167 93%
Wellcare $169 - $3,918 94%
Ambetter / Centene $347 194%
Optima Health $455 254%
Medcost $1,865 1041%
First Health Coventry $3,526 1968%
Seven Corners, Inc. $3,918 2186%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 851 Locust Street, Rogersville, TN 37857
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals