CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Henrico Doctors' Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,181
Cash Discount Price: $8,262
vs. Medicare Baseline: 6.59x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Henrico Doctors' Hospital is $1,181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,262. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.59x the Medicare baseline. Located in 1602 Skipwith Road, Richmond, VA.

Cash / Self-Pay

$8,262

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,181

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: $8,262 (4610%)

Insurance Median: $1,181 (659%)

Cash: $8,262 (4610% of Medicare)

Ins. Median: $1,181 (659% 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 659% of the Medicare baseline (a markup of 559%). 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	$186 - $782	104%
United	$402 - $3,718	224%
Cigna	$1,181 - $1,735	659%
Aetna	$1,408 - $1,705	786%
Lifeworks	$1,570	876%
Universal Healthcare Group	$1,818	1015%
Virginia Health Network	$2,892 - $5,370	1614%
Greenvbrier Sporting Club	$4,957	2766%
Corvel	$5,949	3320%
Occunet Workers Comp	$6,610	3689%
4Most Health Nework	$7,436	4150%
Multiplan	$7,436	4150%

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 $8,262.
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 Henrico Doctors' 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.