CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Johnston Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $373
Cash Discount Price: $560
vs. Medicare Baseline: 2.08x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Johnston Memorial Hospital is $373. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $560. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.08x the Medicare baseline. Located in 16000 Johnston Memorial Drive, Abingdon, VA.

Cash / Self-Pay

$560

Average discount available for prompt cash payment at this facility.

Insurance Median

$373

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: $560 (313%)

Insurance Median: $373 (208%)

Cash: $560 (313% of Medicare)

Ins. Median: $373 (208% 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 208% of the Medicare baseline (a markup of 108%). 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	$171 - $2,380	95%
Blue Cross Blue Shield	$171 - $701	95%
Humana	$171	95%
Managed Medicaire	$171	95%
Medicare (plans)	$171	95%
Mountain Empire Pace	$171	95%
Sentara Health	$171 - $1,252	95%
United Mine Workers Of America	$171	95%
UnitedHealthcare	$171 - $3,731	95%
Amerigroup	$178 - $251	99%
Molina Healthcare	$178 - $424	99%
Cigna	$180 - $542	100%
Devoted Health Plan	$180	100%
Nhc Advantage	$180	100%
Wellcare	$181	101%
Ambetter / Centene	$373	208%
Optima Health	$408	228%
Medcost	$1,306	729%
First Health Coventry	$3,731	2082%
Seven Corners, Inc.	$3,731	2082%

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 $560.
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 Johnston Memorial 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.