CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Pioneer Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $2,103
  • Cash Discount Price: $1,771
  • vs. Medicare Baseline: 11.74x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Pioneer Medical Center is $2,103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,771. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 11.74x the Medicare baseline. Located in 301 W 7Th Ave, Big Timber, MT.
Cash / Self-Pay
$1,771

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,103

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: $1,771 (988%)
Insurance Median: $2,103 (1174%)
Cash: $1,771 (988% of Medicare)
Ins. Median: $2,103 (1174% 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 1174% of the Medicare baseline (a markup of 1074%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Blue Cross Blue Shield $996 - $1,837 556%
Health Info Net Mcr Adv $996 556%
Healtnet Federal-All Plans $996 556%
Humana $996 - $2,036 556%
Triwest Va Pccc-All Plans $996 556%
UnitedHealthcare $996 - $2,103 556%
Rocky Mountain Health Network-All Plans $1,549 864%
Allegiance Provider-All Plans $1,881 1050%
Mountain Health Co-Op Hpn $1,948 1087%
6 Degrees Health-All Plans $2,103 1174%
Americas Choice-All Plans $2,103 1174%
City Of Billings-All Plans $2,103 1174%
Community Health Ntwk-All Plans $2,103 1174%
Ebms Select Care Network-All Plans $2,103 1174%
Fedmed Network-All Plans $2,103 1174%
First Choice Big Sky-All Plans $2,103 1174%
First Health-All Plans $2,103 1174%
Interwest Ppo $2,103 1174%
Mountain Health Co-Op-All Other Plans $2,103 1174%
Pacific Source-All Plans $2,103 1174%
Pacific Steel & Recycling-All Plans $2,103 1174%
Three Rivers-All Plans $2,103 1174%
Health Info Net Peak/Equity $2,147 1198%
Health Info Net Standard-All Other Plans $2,147 1198%
Mountain Health Co-Op Ppo/Pos $2,169 1210%
Interwest Health Traditional-All Other Plans $2,214 1235%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 W 7Th Ave, Big Timber, MT 59011
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals