CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Lafollette Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $184
  • Cash Discount Price: $1,305
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Lafollette Medical Center is $184. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,305. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.03x the Medicare baseline. Located in 923 East Central Avenue, La Follette, TN.
Cash / Self-Pay
$1,305

Average discount available for prompt cash payment at this facility.

Insurance Median
$184

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: $1,305 (728%)
Insurance Median: $184 (103%)
Cash: $1,305 (728% of Medicare)
Ins. Median: $184 (103% 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 - $202 55%
UnitedHealthcare $99 - $4,350 55%
Tricare $155 86%
Veterans Eval Services $159 89%
Node Champva $164 92%
Triwest $167 93%
Blue Cross Blue Shield $168 - $757 94%
Humana $168 - $957 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 - $2,705 97%
Node Blueadvantage Mcr Adv $173 97%
Node Healthspring Mcr Adv $173 97%
Bluecare $174 - $196 97%
Node Amerigroup Mcr Adv $176 98%
Windsor Health Plan $176 98%
Node Nhc Mcr Adv $184 103%
Amerigroup $196 109%
Wellcare $202 113%
Node Us Dept Of Labor $213 119%
Cigna $234 131%
Novanet Work Comp Tn $264 147%
Tn Work Comp $267 149%
Ambetter / Centene $315 176%
Node Point Comfort Underwriters $375 209%
Self Pay $1,249 697%
Multiplan Complementary $3,306 1845%
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