CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Kootenai Health

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $178
Cash Discount Price: $1,314
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Kootenai Health is $178. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,314. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.99x the Medicare baseline. Located in 2003 Kootenai Health Way, Coeur D'Alene, ID.

Cash / Self-Pay

$1,314

Average discount available for prompt cash payment at this facility.

Insurance Median

$178

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: $1,314 (733%)

Insurance Median: $178 (99%)

Cash: $1,314 (733% of Medicare)

Ins. Median: $178 (99% 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
Coordinated Care Of Washington	$37 - $112	21%
Molina Healthcare Of Idaho	$37 - $648	21%
Molina Healthcare Of Washington	$37 - $112	21%
Blue Cross Blue Shield	$56 - $1,577	31%
Humana	$56 - $181	31%
Premera	$56 - $1,083	31%
Regence Blue Shield Of Idaho	$56 - $181	31%
UnitedHealthcare	$56 - $1,577	31%
Pacificsource	$57 - $1,435	32%
Aetna	$59 - $1,454	33%
Group Health/Kaiser	$81 - $653	45%
Magellan	$105 - $161	59%
Wellpoint	$105 - $161	59%
Mountain Health Co-Op	$1,358	758%
Cigna	$1,435 - $1,456	801%
Interwest Health	$1,489	831%
First Choice Health (Ameriben)	$1,494 - $1,517	834%

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 $1,314.
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 Kootenai Health 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.