CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Intermountain Health St Vincent Regional Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $817
Cash Discount Price: Unavailable
vs. Medicare Baseline: 4.56x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Intermountain Health St Vincent Regional Hospital is $817. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.56x the Medicare baseline. Located in 1233 N 30Th St, Billings, MT.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$817

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%)

Insurance Median: $817 (456%)

Ins. Median: $817 (456% 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 456% of the Medicare baseline (a markup of 356%). 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
Medicare (plans)	$178	99%
UnitedHealthcare	$182 - $1,004	102%
Exchange Other	$252 - $717	141%
Mt Health Co-Op	$252 - $717	141%
First Choice Health	$274 - $976	153%
Other	$274 - $976	153%
Ebms-Employee Benefit Mng	$299 - $938	167%
Meritain Health	$314 - $817	175%
Allegiance	$319 - $982	178%
Cigna	$319 - $982	178%
Sibanye Stillwater Health Partners	$338	189%
Pacificsource	$341 - $990	190%
Coastal Administrative Services	$356	199%
Pacific Steel And Recycling	$445	248%
Aetna	$695	388%
Blue Cross Blue Shield	$820 - $992	458%
Preferred One	$938 - $1,015	523%
Interwest	$982	548%
Private Hlthcare Sys	$993	554%
Geha	$1,004	560%

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 $X.
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 Intermountain Health St Vincent Regional 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.