CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Portneuf Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,886
  • Cash Discount Price: $1,257
  • vs. Medicare Baseline: 10.52x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Portneuf Medical Center is $1,886. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,257. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 10.52x the Medicare baseline. Located in 777 Hospital Way, Pocatello, ID.
Cash / Self-Pay
$1,257

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,886

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: $1,257 (701%)
Insurance Median: $1,886 (1052%)
Cash: $1,257 (701% of Medicare)
Ins. Median: $1,886 (1052% 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 1052% of the Medicare baseline (a markup of 952%). 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 $432 241%
Healthscope Benefits [2290] $432 241%
UnitedHealthcare $432 - $1,886 241%
Black Lung [6055] $859 479%
Employee Benefit Management Services [2445] $859 - $1,257 479%
Healthcare Highways [2210] $859 - $1,991 479%
Lucent Health [6000] $859 479%
Moda Health [6100] $859 479%
Oncology Patient Assistance Programs [2295] $859 479%
Pending Ssi [1616] $859 479%
Web Tpa [2115] $859 479%
Pacific Source Health Plans [2850] $1,205 672%
Liberty Health Share Lhs/Medcost Solutions Llc [2400] $1,257 701%
Medishare Christian Care [1645] $1,257 701%
Multiplan [1680] $1,404 - $1,991 783%
Cigna $1,543 861%
First Health [1375] $1,729 965%
Selecthealth [3740] $1,777 - $1,886 992%
Geha [1415] $1,886 1052%
Humana $1,886 1052%
Administrative Concepts [1005] $1,991 1111%
Healthfirst [2395] $1,991 1111%
Healthnet [1495] $1,991 1111%
Hometown Health [2155] $1,991 1111%
Mayo Clinic Health Solutions [2280] $1,991 1111%
Meritain Health [1655] $1,991 1111%
Mutual Of Omaha [1685] $1,991 1111%
National Association Of Letter Carriers [1695] $1,991 1111%
New Era Life Insurance Company [1705] $1,991 1111%
Pan American Life Insurance Co [1770] $1,991 1111%
Pba [1775] $1,991 1111%
Phcs [1780] $1,991 1111%
Planned Administrators Inc [2360] $1,991 1111%
Trustmark [2030] $1,991 1111%
Ut Id Teamsters [3760] $1,991 1111%

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