CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Johnson City Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $356
  • Cash Discount Price: $560
  • vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Johnson City Medical Center is $356. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $560. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.99x the Medicare baseline. Located in 400 N State of Franklin Rd, Johnson City, TN.
Cash / Self-Pay
$560

Average discount available for prompt cash payment at this facility.

Insurance Median
$356

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: $560 (313%)
Insurance Median: $356 (199%)
Cash: $560 (313% of Medicare)
Ins. Median: $356 (199% 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
Aetna $164 - $2,380 92%
Amerigroup $164 - $240 92%
Humana $164 92%
Managed Medicaire $164 92%
Medicare (plans) $164 92%
Mountain Empire Pace $164 92%
Sentara Health $164 - $1,302 92%
United Mine Workers Of America $164 92%
UnitedHealthcare $164 - $3,731 92%
Blue Cross Blue Shield $169 - $611 94%
Molina Healthcare $170 - $423 95%
Cigna $172 - $542 96%
Devoted Health Plan $172 96%
Nhc Advantage $172 96%
Wellcare $173 - $3,731 97%
Ambetter / Centene $357 199%
Optima Health $407 227%
Medcost $1,306 729%
First Health Coventry $2,798 1561%
Seven Corners, Inc. $3,731 2082%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N State of Franklin Rd, Johnson City, TN 37604
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals