CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Portneuf Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,923
  • Cash Discount Price: $1,282
  • vs. Medicare Baseline: 18.00x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Portneuf Medical Center is $1,923. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,282. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.00x the Medicare baseline. Located in 777 Hospital Way, Pocatello, ID.
Cash / Self-Pay
$1,282

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,923

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: $1,282 (1200%)
Insurance Median: $1,923 (1800%)
Cash: $1,282 (1200% of Medicare)
Ins. Median: $1,923 (1800% 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 1800% of the Medicare baseline (a markup of 1700%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Aetna $440 412%
Healthscope Benefits [2290] $440 412%
UnitedHealthcare $440 - $1,923 412%
Black Lung [6055] $876 820%
Employee Benefit Management Services [2445] $876 - $1,282 820%
Healthcare Highways [2210] $876 - $2,030 820%
Lucent Health [6000] $876 820%
Moda Health [6100] $876 820%
Oncology Patient Assistance Programs [2295] $876 820%
Pending Ssi [1616] $876 820%
Web Tpa [2115] $876 820%
Pacific Source Health Plans [2850] $1,228 1150%
Liberty Health Share Lhs/Medcost Solutions Llc [2400] $1,282 1200%
Medishare Christian Care [1645] $1,282 1200%
Multiplan [1680] $1,432 - $2,030 1341%
Cigna $1,573 1473%
First Health [1375] $1,763 1651%
Selecthealth [3740] $1,812 - $1,923 1696%
Geha [1415] $1,923 1800%
Humana $1,923 1800%
Administrative Concepts [1005] $2,030 1901%
Healthfirst [2395] $2,030 1901%
Healthnet [1495] $2,030 1901%
Hometown Health [2155] $2,030 1901%
Mayo Clinic Health Solutions [2280] $2,030 1901%
Meritain Health [1655] $2,030 1901%
Mutual Of Omaha [1685] $2,030 1901%
National Association Of Letter Carriers [1695] $2,030 1901%
New Era Life Insurance Company [1705] $2,030 1901%
Pan American Life Insurance Co [1770] $2,030 1901%
Pba [1775] $2,030 1901%
Phcs [1780] $2,030 1901%
Planned Administrators Inc [2360] $2,030 1901%
Trustmark [2030] $2,030 1901%
Ut Id Teamsters [3760] $2,030 1901%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 777 Hospital Way, Pocatello, ID 83201
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals