CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Boundary Community Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $161
Cash Discount Price: $506
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Boundary Community Hospital is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $506. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.90x the Medicare baseline. Located in 6640 Kaniksu Street, Bonners Ferry, ID.

Cash / Self-Pay

$506

Average discount available for prompt cash payment at this facility.

Insurance Median

$161

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: $506 (282%)

Insurance Median: $161 (90%)

Cash: $506 (282% of Medicare)

Ins. Median: $161 (90% 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
UnitedHealthcare	$35 - $955	20%
Cigna	$45 - $2,109	25%
Molina Comm/Mrketplce - All Other Plans	$50 - $179	28%
Molina Mcr Adv	$50 - $618	28%
Bc Idaho Qhp	$90 - $1,057	50%
Bc Idaho Comm - All Other Plans	$101 - $1,060	56%
Regence Blue Shield - All Plans	$107 - $4,356	60%
Molina Mcaid	$117 - $674	65%
Pacificsource Comm - All Other Plans	$137 - $1,090	76%
Aetna	$144 - $731	80%

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 $506.
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 Boundary Community Hospital 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.