CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Tennova Healthcare-Jefferson Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $172
  • Cash Discount Price: $963
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Tennova Healthcare-Jefferson Memorial Hospital is $172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $963. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.96x the Medicare baseline. Located in 110 Hospital Drive, Jefferson City, TN.
Cash / Self-Pay
$963

Average discount available for prompt cash payment at this facility.

Insurance Median
$172

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: $963 (537%)
Insurance Median: $172 (96%)
Cash: $963 (537% of Medicare)
Ins. Median: $172 (96% 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 55%
UnitedHealthcare $99 - $4,350 55%
Tricare $151 84%
Humana $157 88%
Medicare (plans) $157 88%
Node Bluecare Plus Tn Mcr Adv $159 89%
Node Champva $159 89%
Node Hospice Non Par Agree $159 89%
Node Va $159 89%
Veterans Eval Services $159 89%
Bluecare $160 - $174 89%
Node Devoted Health Mcr Adv $160 89%
Node Farm Bureau Mcr Adv $160 89%
Aetna $161 - $2,792 90%
Blue Cross Blue Shield $161 - $883 90%
Node Healthspring Mcr Adv $161 90%
Node Amerigroup Mcr Adv $164 92%
Node Wellcare Mcr Adv $166 93%
Node Nhc Mcr Adv $172 96%
Amerigroup $184 103%
Node Us Dept Of Labor $199 111%
Three Rivers Work Comp Tn $214 119%
Cigna $229 128%
Novanet Work Comp Tn $264 147%
Occunet Work Comp Tn $267 149%
Tn Work Comp $267 149%
Ambetter / Centene $294 164%
Point Comfort Underwriters $344 192%
Self Pay $963 537%
Multiplan Complementary $3,436 1917%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 110 Hospital Drive, Jefferson City, TN 37760
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals