CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Camc Greenbrier Valley Medical Center, Inc

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $187
Cash Discount Price: $2,050
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Camc Greenbrier Valley Medical Center, Inc is $187. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,050. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.04x the Medicare baseline. Located in 1320 Maplewood Avenue, Ronceverte, WV.

Cash / Self-Pay

$2,050

Average discount available for prompt cash payment at this facility.

Insurance Median

$187

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: $2,050 (1144%)

Insurance Median: $187 (104%)

Cash: $2,050 (1144% of Medicare)

Ins. Median: $187 (104% 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.

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	$68 - $1,896	38%
Sentra Health	$68 - $410	38%
The Health Plan	$68 - $1,845	38%
Unicare	$68 - $72	38%
Aetna	$72 - $2,009	40%
Caresource	$72 - $1,640	40%
Clear Spring Health	$178	99%
Humana	$178 - $1,845	99%
UnitedHealthcare	$178 - $1,640	99%
Ally Align	$187	104%
Integrated Medical Solutions	$338	189%
Naphcare	$356	199%
Greenbrier Resort	$1,435	801%
Healthsmart	$1,435	801%
Multiplan	$1,620 - $1,784	904%
Fedmed	$1,845	1030%

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 $2,050.
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 Camc Greenbrier Valley Medical Center, Inc 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.