CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Nell J Redfield Memorial Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $910
Cash Discount Price: $1,105
vs. Medicare Baseline: 8.52x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Nell J Redfield Memorial Hospital is $910. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,105. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.52x the Medicare baseline. Located in 150 North 200 West, Malad City, ID.

Cash / Self-Pay

$1,105

Average discount available for prompt cash payment at this facility.

Insurance Median

$910

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $1,105 (1035%)

Insurance Median: $910 (852%)

Cash: $1,105 (1035% of Medicare)

Ins. Median: $910 (852% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 852% of the Medicare baseline (a markup of 752%). 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
Regence Bs Mcr	$650	609%
UnitedHealthcare	$650 - $1,105	609%
Bc Mcr Adv	$656	614%
Choicecare Mcr Adv	$656	614%
Aetna	$663 - $1,066	621%
Pacificsource Mcr Adv - All Plans	$670	627%
Bc Comm - All Other Plans	$781	731%
University Of Ut - All Plans	$1,040	974%
Choicecare Ppo - All Other Plans	$1,105	1035%
Town & Country - All Plans	$1,105	1035%
Brightpath Select Hlth - All Plans	$1,170	1095%
Regence Bs Comm - All Other Plans	$3,250	3043%

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 $1,105.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Nell J Redfield Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.