CMS Price Transparency Data

CT scan, head (with contrast)

Facility: West Valley Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $2,827
Cash Discount Price: $4,735
vs. Medicare Baseline: 15.78x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at West Valley Medical Center is $2,827. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,735. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 15.78x the Medicare baseline. Located in 1717 Arlington Street, Caldwell, ID.

Cash / Self-Pay

$4,735

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,827

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: $4,735 (2642%)

Insurance Median: $2,827 (1578%)

Cash: $4,735 (2642% of Medicare)

Ins. Median: $2,827 (1578% 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 1578% of the Medicare baseline (a markup of 1478%). 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	$43 - $4,498	24%
Molina	$43 - $74	24%
Regence	$366	204%
United	$402 - $2,827	224%
Select Health Idaho (Eirmc Only)	$1,510	843%
Corizon Health	$1,752	978%
True Blue	$1,870	1044%
Cigna	$2,652	1480%
Pacificsource Health	$2,827	1578%
Moda	$2,950	1646%
St Luke'S Health Partners	$3,078	1718%
Aetna	$3,745	2090%
Four Rivers Hospice	$3,788	2114%
Multiplan	$3,788	2114%
Humana	$3,977	2219%
Geha Ppo Usa	$4,025	2246%
Coventry First Health	$4,261	2378%
St Alphonsus Health	$4,261	2378%

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 $4,735.
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 West Valley Medical Center 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.