CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Kootenai Health

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $164
Cash Discount Price: $1,283
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Kootenai Health is $164. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,283. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.92x the Medicare baseline. Located in 2003 Kootenai Health Way, Coeur D'Alene, ID.

Cash / Self-Pay

$1,283

Average discount available for prompt cash payment at this facility.

Insurance Median

$164

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: $1,283 (716%)

Insurance Median: $164 (92%)

Cash: $1,283 (716% of Medicare)

Ins. Median: $164 (92% 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	$33 - $96	18%
Molina Healthcare Of Idaho	$33 - $633	18%
Molina Healthcare Of Washington	$33 - $96	18%
Blue Cross Blue Shield	$50 - $1,539	28%
Humana	$50 - $181	28%
Pacificsource	$50 - $1,401	28%
Premera	$50 - $1,057	28%
Regence Blue Shield Of Idaho	$50 - $181	28%
UnitedHealthcare	$50 - $1,539	28%
Aetna	$52 - $1,419	29%
Group Health/Kaiser	$71 - $653	40%
Magellan	$88 - $138	49%
Wellpoint	$88 - $138	49%
Mountain Health Co-Op	$1,325	739%
Cigna	$1,400 - $1,421	781%
Interwest Health	$1,454	811%
First Choice Health (Ameriben)	$1,459 - $1,481	814%

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 $1,283.
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 Kootenai Health 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.