CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Childrens Hospital of the Kings Daughters Inc

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $3,016
Cash Discount Price: $3,586
vs. Medicare Baseline: 16.83x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Childrens Hospital of the Kings Daughters Inc is $3,016. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,586. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 16.83x the Medicare baseline. Located in 601 Children's Lane, Norfolk, VA.

Cash / Self-Pay

$3,586

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,016

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: $3,586 (2001%)

Insurance Median: $3,016 (1683%)

Cash: $3,586 (2001% of Medicare)

Ins. Median: $3,016 (1683% 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 1683% of the Medicare baseline (a markup of 1583%). 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	$479 - $603	267%
UnitedHealthcare	$482 - $3,275	269%
Sentara Community Plan	$564	315%
Aetna	$591 - $3,275	330%
Humana	$591	330%
Amerihealth Caritas	$916	511%
Healthy Blue	$916	511%
Carolina Complete Health	$935	522%
Wellcare	$944	527%
Sentara Health Plans	$1,139	636%
Cigna	$2,646	1477%
Virginia Health Network	$2,789 - $3,188	1556%
Medcost	$3,387 - $3,666	1890%
First Health	$3,586	2001%
Multiplan	$3,666	2046%
Phcs	$3,666 - $3,785	2046%
Vhn	$3,666 - $3,785	2046%
Johns Hopkins Healthcare	$3,785	2112%

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 $3,586.
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 Childrens Hospital of the Kings Daughters Inc 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.