CMS Price Transparency Data

CT scan, head (with contrast)

Facility: St Luke's Nampa Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $973
Cash Discount Price: $1,455
vs. Medicare Baseline: 5.43x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at St Luke's Nampa Medical Center is $973. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,455. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.43x the Medicare baseline. Located in 9850 West St Lukes Drive, Nampa, ID.

Cash / Self-Pay

$1,455

Average discount available for prompt cash payment at this facility.

Insurance Median

$973

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: $1,455 (812%)

Insurance Median: $973 (543%)

Cash: $1,455 (812% of Medicare)

Ins. Median: $973 (543% 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 543% of the Medicare baseline (a markup of 443%). 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
UnitedHealthcare	$186 - $1,489	104%
Blue Cross Blue Shield	$290 - $1,553	162%
Commercial [1028]	$290 - $1,634	162%
Mountain Health Co-Op [1067]	$290 - $1,180	162%
Pacificsource [1020]	$290 - $1,362	162%
Select Health [1063]	$290 - $1,180	162%
Slplan Tap Mc St Lukes Health Plan [1641000001]	$290 - $1,180	162%
St Lukes Health Plan [1046]	$290 - $1,180	162%
Regence [1005]	$632 - $665	353%
Blue Shield Alt [100401]	$665	371%
Regence Out Of State [1004]	$665	371%
Cigna	$874 - $1,453	488%
Providence [1022]	$874 - $1,453	488%
Geha [1065]	$896 - $1,489	500%
United Medical Resources [1051]	$896 - $1,489	500%
First Health [1064]	$902 - $1,544	503%
Webtpa [1071]	$929 - $1,544	518%
Moda [1055]	$962 - $1,598	537%
Aetna	$984 - $1,634	549%

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 $1,455.
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 St Luke's Nampa 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.