CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Physicians Regional Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $190
  • Cash Discount Price: $966
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Physicians Regional Medical Center is $190. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $966. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.06x the Medicare baseline. Located in 7565 Dannaher Way Powell, Powell, TN.
Cash / Self-Pay
$966

Average discount available for prompt cash payment at this facility.

Insurance Median
$190

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: $966 (539%)
Insurance Median: $190 (106%)
Cash: $966 (539% of Medicare)
Ins. Median: $190 (106% 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 $157 - $159 88%
Department Of Veterans Affairs $159 89%
Node Hospice Non Par Agree $159 89%
Node Va $159 89%
Veterans Eval Services $159 89%
Node Devoted Health Mcr Adv $160 89%
Node Farm Bureau Mcr Adv $160 89%
Aetna $161 - $483 90%
Blue Cross Blue Shield $161 - $844 90%
Node Healthspring Mcr Adv $161 90%
Amerigroup $164 - $184 92%
Wellcare $166 93%
Node Nhc Mcr Adv $172 96%
Amerigroup Community Care $184 103%
Node Us Dept Of Labor $199 111%
Us Department Of Labor $199 111%
Novanet Work Comp Tn $264 147%
Occunet Work Comp Tn $267 149%
Tn Work Comp $267 149%
Ambetter / Centene $294 164%
Node Point Comfort Underwriters $294 164%
Cigna $367 - $374 205%
Self Pay $946 - $985 528%
Multiplan $2,349 - $3,088 1311%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7565 Dannaher Way Powell, Powell, TN 37849
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals