CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Johnston Memorial Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $283
Cash Discount Price: $532
vs. Medicare Baseline: 2.65x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Johnston Memorial Hospital is $283. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $532. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.65x the Medicare baseline. Located in 16000 Johnston Memorial Drive, Abingdon, VA.

Cash / Self-Pay

$532

Average discount available for prompt cash payment at this facility.

Insurance Median

$283

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $532 (498%)

Insurance Median: $283 (265%)

Cash: $532 (498% of Medicare)

Ins. Median: $283 (265% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 265% of the Medicare baseline (a markup of 165%). 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	$102 - $2,262	95%
Blue Cross Blue Shield	$102 - $420	95%
Humana	$102	95%
Managed Medicaire	$102	95%
Medicare (plans)	$102	95%
Mountain Empire Pace	$102	95%
Sentara Health	$102 - $1,189	95%
United Mine Workers Of America	$102	95%
UnitedHealthcare	$102 - $3,545	95%
Amerigroup	$106 - $114	99%
Molina Healthcare	$106 - $424	99%
Cigna	$107 - $542	100%
Devoted Health Plan	$107	100%
Nhc Advantage	$107	100%
Wellcare	$108	101%
Ambetter / Centene	$222	208%
Optima Health	$408	382%
Medcost	$1,241	1162%
First Health Coventry	$3,545	3319%
Seven Corners, Inc.	$3,545	3319%

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 $532.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Johnston Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.