CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Ascension Saint Thomas Three Rivers

Billing Code: 70450 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$442
about 4.1× the $107 Medicare rate · typically $115–$1,053
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,214
Well above the fair price
about $772 over the fair price · 11.3× Medicare
Medicare pays $107 Fair price $442 This hospital $1,214 Cash price $364 Hospital's list price $1,214

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $37 Priciest $1,214

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, head (no contrast) is about $442 (about 4.1× the $107 Medicare rate). Ascension Saint Thomas Three Rivers charges insurers about $1,214, or about $364 in cash — well above the fair price. Located in Waverly, TN.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $442. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

0 of 6 major insurers have a published price at this hospital

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
No insurance-company prices are published for this procedure.
+ 1 smaller / regional plan $1,214

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 451 Highway 13 South, Waverly, TN 37185
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals