CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Frances Mahon Deaconess Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $466
Cash Discount Price: $802
vs. Medicare Baseline: 4.36x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Frances Mahon Deaconess Hospital is $466. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $802. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.36x the Medicare baseline. Located in 621 3Rd St S, Glasgow, MT.

Cash / Self-Pay

$802

Average discount available for prompt cash payment at this facility.

Insurance Median

$466

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: $802 (751%)

Insurance Median: $466 (436%)

Cash: $802 (751% of Medicare)

Ins. Median: $466 (436% 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 436% of the Medicare baseline (a markup of 336%). 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
Ihs-All Plans	$39 - $714	37%
UnitedHealthcare	$39 - $1,474	37%
Blue Cross Blue Shield	$45 - $1,443	42%
Humana	$45 - $714	42%
Montana Co-Op-All Plans	$70 - $1,505	66%
Cigna	$79 - $1,474	74%
First Choice Health-All Plans	$184 - $1,474	172%
Allegiance Mt	$196 - $1,474	184%
Geha-All Plans	$214 - $1,505	200%
Interwest-All Plans	$214 - $1,474	200%
Health Infonet-All Plans	$218 - $1,474	204%
Multiplan-All Plans	$218 - $1,474	204%
Pacific Source-All Plans	$218 - $1,474	204%
Three Rivers-All Plans	$218 - $1,474	204%

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 $802.
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 Frances Mahon Deaconess 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.