CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Johnson County Community Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $727
Cash Discount Price: $577
vs. Medicare Baseline: 4.06x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Johnson County Community Hospital is $727. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $577. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.06x the Medicare baseline. Located in 1901 S Shady St, Mountain City, TN.

Cash / Self-Pay

$577

Average discount available for prompt cash payment at this facility.

Insurance Median

$727

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: $577 (322%)

Insurance Median: $727 (406%)

Cash: $577 (322% of Medicare)

Ins. Median: $727 (406% 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 406% of the Medicare baseline (a markup of 306%). 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
Blue Cross Blue Shield	$232 - $1,887	129%
UnitedHealthcare	$301 - $2,507	168%
Amerigroup	$360 - $727	201%
Cigna	$427 - $763	238%
Optima Health	$442	247%
Aetna	$459 - $1,599	256%
Molina Healthcare	$459 - $756	256%
Managed Medicaire	$727	406%
Medicare (plans)	$727	406%
Sentara Health	$727 - $851	406%
United Mine Workers Of America	$727	406%
Wellcare	$727	406%
Humana	$739	412%
Devoted Health Plan	$763	426%
Nhc Advantage	$763	426%
Ambetter / Centene	$802	448%
Medcost	$877	489%
First Health Coventry	$1,880	1049%
Seven Corners, Inc.	$2,507	1399%

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 $577.
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 Johnson County Community Hospital 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.