CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Lafollette Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $213
  • Cash Discount Price: $1,537
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Lafollette Medical Center is $213. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,537. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.19x the Medicare baseline. Located in 923 East Central Avenue, La Follette, TN.
Cash / Self-Pay
$1,537

Average discount available for prompt cash payment at this facility.

Insurance Median
$213

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: $1,537 (858%)
Insurance Median: $213 (119%)
Cash: $1,537 (858% of Medicare)
Ins. Median: $213 (119% 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
Medicaid / KanCare $99 - $246 55%
UnitedHealthcare $99 - $5,122 55%
Tricare $155 86%
Veterans Eval Services $159 89%
Node Champva $164 92%
Triwest $167 93%
Blue Cross Blue Shield $168 - $891 94%
Humana $168 - $1,127 94%
Medicare (plans) $168 94%
Node Bluecare Plus Tn Mcr Adv $168 94%
Node Hospice Non Par Agree $170 95%
Node Va $170 95%
Node Wellcare Mcr Adv $170 95%
Node Devoted Health Mcr Adv $171 95%
Node Farm Bureau Mcr Adv $171 95%
Aetna $173 - $3,186 97%
Node Blueadvantage Mcr Adv $173 97%
Node Healthspring Mcr Adv $173 97%
Node Amerigroup Mcr Adv $176 98%
Windsor Health Plan $176 98%
Node Nhc Mcr Adv $184 103%
Amerigroup $196 109%
Node Us Dept Of Labor $213 119%
Bluecare $217 - $245 121%
Cigna $234 131%
Wellcare $246 137%
Novanet Work Comp Tn $264 147%
Tn Work Comp $267 149%
Ambetter / Centene $315 176%
Node Point Comfort Underwriters $375 209%
Self Pay $1,470 820%
Multiplan Complementary $3,892 2172%
Beech Street Work Comp Tn $26,611 14850%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 923 East Central Avenue, La Follette, TN 37766
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals