CMS Price Transparency Data

CT scan, head (with contrast)

Facility: St Jude Childrens Research Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $526
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.94x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at St Jude Childrens Research Hospital is $526. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.94x the Medicare baseline. Located in 262 Danny Thomas Place, Memphis, TN.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$526

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%)

Insurance Median: $526 (294%)

Ins. Median: $526 (294% 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 294% of the Medicare baseline (a markup of 194%). 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
UnitedHealthcare	$63 - $2,485	35%
Home State Health	$150	84%
Medicaid / KanCare	$158	88%
Blue Cross Blue Shield	$173 - $283	97%
Tenncare Select Hmo	$188	105%
Empower	$208	116%
Molina Marketplace Of Ms	$230	128%
Health Choice - Ok	$445	248%
Healthcare Connections La	$526	294%
Cigna	$550	307%
Humana	$680	379%
Healthy Blue	$863	482%
Vantage	$2,071 - $2,312	1156%
Aetna	$2,588	1444%
Private Health Care Systems	$2,761	1541%
Ms Physicians Care Network	$2,933	1637%
Baptist Health	$3,106	1733%
First Health Ccn	$3,106	1733%
Health Choice	$3,106	1733%
Health Link Mississippi	$3,106	1733%
Healthscope Benefits Inc	$3,106	1733%
Tricare	$3,451	1926%

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 $X.
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 St Jude Childrens Research Hospital 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.