CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Tristar Centennial Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,427
Cash Discount Price: $7,510
vs. Medicare Baseline: 7.96x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Tristar Centennial Medical Center is $1,427. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,510. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 7.96x the Medicare baseline. Located in 2300 Patterson Street, Nashville, TN.

Cash / Self-Pay

$7,510

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,427

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: $7,510 (4191%)

Insurance Median: $1,427 (796%)

Cash: $7,510 (4191% of Medicare)

Ins. Median: $1,427 (796% 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 796% of the Medicare baseline (a markup of 696%). 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	$210 - $4,882	117%
Blue Cross Blue Shield	$221 - $426	123%
United	$341 - $3,380	190%
Aetna	$459 - $3,755	256%
Kentucky Labor Cabinet	$1,383	772%
Apex Health	$1,427	796%
Nhc Advantage, Inc.	$1,427	796%
Pruitt Health (Allyalign)	$1,427	796%
Tennessee Donor Services	$2,035	1136%
Cigna	$2,343 - $6,008	1307%
Emerging Therapy Solutions	$3,680 - $5,032	2054%
Bgfh Singlesource	$3,755 - $6,384	2095%
Value Option	$3,755	2095%
Multiplan	$4,131	2305%
Southern Health Partners	$4,506	2515%
Employers Health Network	$5,257	2934%
Beech Street	$6,609	3688%
Prime Health	$6,609	3688%
UnitedHealthcare	$6,684 - $7,510	3730%

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 $7,510.
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 Tristar Centennial 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.