CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Tristar Southern Hills Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $683
Cash Discount Price: $7,333
vs. Medicare Baseline: 3.81x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Tristar Southern Hills Medical Center is $683. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,333. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.81x the Medicare baseline. Located in 391 Wallace Rd, Nashville, TN.

Cash / Self-Pay

$7,333

Average discount available for prompt cash payment at this facility.

Insurance Median

$683

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: $7,333 (4092%)

Insurance Median: $683 (381%)

Cash: $7,333 (4092% of Medicare)

Ins. Median: $683 (381% 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 381% of the Medicare baseline (a markup of 281%). 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 - $1,833	132%
Blue Cross Blue Shield	$318 - $533	177%
United	$341 - $3,300	190%
Aetna	$459 - $3,666	256%
Kentucky Labor Cabinet	$1,350	753%
Apex Health	$1,393	777%
Nhc Advantage, Inc.	$1,393	777%
Pruitt Health (Allyalign)	$1,393	777%
Cigna	$2,391	1334%
Bgfh Singlesource	$3,666 - $6,233	2046%
Multiplan	$4,253	2373%
Employers Health Network	$5,133	2864%
Beech Street	$6,453	3601%
Prime Health	$6,453	3601%

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 $7,333.
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 Southern Hills 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.