CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Fort Loudoun Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $171
  • Cash Discount Price: $617
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Fort Loudoun Medical Center is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $617. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.95x the Medicare baseline. Located in 550 Fort Loudon Medical Center Dr, Lenoir City, TN.
Cash / Self-Pay
$617

Average discount available for prompt cash payment at this facility.

Insurance Median
$171

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: $617 (344%)
Insurance Median: $171 (95%)
Cash: $617 (344% of Medicare)
Ins. Median: $171 (95% 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
UnitedHealthcare $124 - $374 69%
Blue Cross Blue Shield $145 - $522 81%
Farm Bureau $160 89%
Tricare $163 91%
Wellpoint $166 - $171 93%
Humana $167 93%
Aetna $171 - $396 95%
Cigna $171 - $276 95%
Devoted Health $171 95%
Wellcare $171 95%
Ambetter / Centene $617 344%
Ehn $867 484%
Correctional Medical Services $1,156 645%
Community Services Network $1,253 699%
Usa Managed Care Organization $1,349 753%
Novanet $1,445 806%
Direct Care America $1,542 860%
Medsave Usa $1,542 860%
National Provider Network $1,542 860%
Beech Street $1,638 914%
Ccn Managed Care $1,638 914%
Initial Group $1,696 946%
Galaxy Health Network $1,734 968%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 550 Fort Loudon Medical Center Dr, Lenoir City, TN 37772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals