CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Childrens Hospital of the Kings Daughters Inc

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $2,087
Cash Discount Price: $2,413
vs. Medicare Baseline: 19.54x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Childrens Hospital of the Kings Daughters Inc is $2,087. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,413. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.54x the Medicare baseline. Located in 601 Children's Lane, Norfolk, VA.

Cash / Self-Pay

$2,413

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,087

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: $2,413 (2259%)

Insurance Median: $2,087 (1954%)

Cash: $2,413 (2259% of Medicare)

Ins. Median: $2,087 (1954% 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 1954% of the Medicare baseline (a markup of 1854%). 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	$359 - $479	336%
UnitedHealthcare	$482 - $2,204	451%
Sentara Community Plan	$564	528%
Aetna	$591 - $41,100	553%
Humana	$591	553%
Amerihealth Caritas	$617	578%
Healthy Blue	$617	578%
Carolina Complete Health	$629	589%
Wellcare	$635	595%
Sentara Health Plans	$889	832%
Cigna	$1,780	1667%
Virginia Health Network	$1,877 - $2,145	1757%
Medcost	$2,279 - $2,466	2134%
First Health	$2,413	2259%
Multiplan	$2,466	2309%
Phcs	$2,466 - $2,547	2309%
Vhn	$2,466 - $2,547	2309%
Johns Hopkins Healthcare	$2,547	2385%

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 $2,413.
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 Childrens Hospital of the Kings Daughters Inc 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.