CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Tristar Centennial Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,772
Cash Discount Price: $9,329
vs. Medicare Baseline: 9.89x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Tristar Centennial Medical Center is $1,772. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,329. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.89x the Medicare baseline. Located in 2300 Patterson Street, Nashville, TN.

Cash / Self-Pay

$9,329

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,772

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: $9,329 (5206%)

Insurance Median: $1,772 (989%)

Cash: $9,329 (5206% of Medicare)

Ins. Median: $1,772 (989% 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 989% of the Medicare baseline (a markup of 889%). 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
Humana	$237 - $6,064	132%
Blue Cross Blue Shield	$276 - $533	154%
United	$341 - $4,198	190%
Aetna	$459 - $4,664	256%
Kentucky Labor Cabinet	$1,717	958%
Apex Health	$1,772	989%
Nhc Advantage, Inc.	$1,772	989%
Pruitt Health (Allyalign)	$1,772	989%
Tennessee Donor Services	$2,528	1411%
Cigna	$2,911 - $7,463	1624%
Emerging Therapy Solutions	$4,571 - $6,250	2551%
Bgfh Singlesource	$4,664 - $7,930	2603%
Value Option	$4,664	2603%
Multiplan	$5,131	2863%
Southern Health Partners	$5,597	3123%
Employers Health Network	$6,530	3644%
Beech Street	$8,209	4581%
Prime Health	$8,209	4581%
UnitedHealthcare	$8,303 - $9,329	4633%

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 $9,329.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Tristar Centennial Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.