CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Clearwater Valley Hospital & Clinics

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $759
Cash Discount Price: $582
vs. Medicare Baseline: 4.24x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Clearwater Valley Hospital & Clinics is $759. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $582. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.24x the Medicare baseline. Located in 301 Cedar Street, Orofino, ID.

Cash / Self-Pay

$582

Average discount available for prompt cash payment at this facility.

Insurance Median

$759

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: $582 (325%)

Insurance Median: $759 (424%)

Cash: $582 (325% of Medicare)

Ins. Median: $759 (424% 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 424% of the Medicare baseline (a markup of 324%). 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
Cigna	$45 - $1,265	25%
Humana	$50 - $1,364	28%
Nimiipuu Mcr Adv-All Plans	$50 - $767	28%
Regence Blue Shield Mcr	$50 - $759	28%
Veterans Amin-All Plans	$50 - $759	28%
Pacific Source - All Plans	$51 - $759	28%
Blue Cross Blue Shield	$57 - $1,060	32%
Aetna	$80 - $1,308	45%
UnitedHealthcare	$93	52%
Idaho Phys Network-All Plans	$140 - $1,336	78%
Multiplan / Phcs-All Plans	$141 - $1,364	79%
Geha-All Plans	$143 - $1,378	80%
First Choice-All Plans	$144 - $1,378	80%
Corizon Correctnal Med-All Plans	$152 - $1,026	85%
Regence Blue Shield-All Other Plans	$1,406	785%

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 $582.
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 Clearwater Valley Hospital & Clinics 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.