CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Parkridge Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,384
Cash Discount Price: $5,238
vs. Medicare Baseline: 7.72x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Parkridge Medical Center is $1,384. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,238. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 7.72x the Medicare baseline. Located in 2333 McCallie Ave, Chattanooga, TN.

Cash / Self-Pay

$5,238

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,384

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: $5,238 (2923%)

Insurance Median: $1,384 (772%)

Cash: $5,238 (2923% of Medicare)

Ins. Median: $1,384 (772% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 772% of the Medicare baseline (a markup of 672%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$92 - $2,767	51%
Health One Alliance	$170 - $3,597	95%
Blue Cross Blue Shield	$200 - $1,716	112%
Humana	$223 - $3,597	124%
Ambetter / Centene	$315 - $329	176%
United	$341 - $2,490	190%
Amerigroup	$751 - $841	419%
Kentucky Labor Cabinet	$910 - $1,019	508%
Apex Health	$939 - $1,051	524%
Nhc Advantage, Inc.	$939 - $1,051	524%
Pruitt Health (Allyalign)	$939 - $1,051	524%
Peach State	$988 - $1,107	551%
Wellcare	$988 - $1,107	551%
Cigna	$1,695 - $4,427	946%
Value Option	$2,471 - $2,767	1379%
Magellan Behavioral Health	$2,965 - $3,320	1655%
Multiplan	$2,965 - $3,320	1655%
North Ga Health Services	$3,212 - $3,597	1792%
Employers Health Network	$3,459 - $3,874	1930%
Olympus Managed Healthcare	$3,459 - $3,874	1930%
Beech Street	$4,348 - $4,870	2426%
Prime Health	$4,348 - $4,870	2426%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $5,238.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Parkridge Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.