CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Carilion Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,973
Cash Discount Price: $1,149
vs. Medicare Baseline: 11.01x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Carilion Medical Center is $1,973. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,149. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 11.01x the Medicare baseline. Located in 1906 Belleview Avenue, Se, Roanoke, VA.

Cash / Self-Pay

$1,149

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,973

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: $1,149 (641%)

Insurance Median: $1,973 (1101%)

Cash: $1,149 (641% of Medicare)

Ins. Median: $1,973 (1101% 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 1101% of the Medicare baseline (a markup of 1001%). 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
Aetna	$154 - $2,393	86%
Humana	$157 - $167	88%
Blue Cross Blue Shield	$159 - $638	89%
Sentara Health Plan	$162 - $2,234	90%
Abh Of Va (Formerly Coventry)	$167	93%
Abh Of Wva (Formerly Coventry)	$167	93%
UnitedHealthcare	$167 - $2,946	93%
Gateway - Tier 3	$1,627 - $1,982	908%
Vhn - Ultra	$1,835 - $2,234	1024%
Cigna	$1,994 - $2,595	1113%
Connecticare	$2,071 - $2,523	1156%
Vhn - Plus	$2,278 - $2,775	1271%
Gateway - Tier 2	$2,367 - $2,883	1321%
Vhn	$2,367 - $2,883	1321%
Vhn - Link	$2,663 - $3,244	1486%
Gateway - Tier 1	$2,811 - $3,424	1569%
Vhn - Secondary Payors	$2,811 - $3,424	1569%

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 $1,149.
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 Carilion 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.