CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Central Montana Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $814
  • Cash Discount Price: $1,193
  • vs. Medicare Baseline: 4.54x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Central Montana Medical Center is $814. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,193. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.54x the Medicare baseline. Located in 408 Wendell Ave, Lewistown, MT.
Cash / Self-Pay
$1,193

Average discount available for prompt cash payment at this facility.

Insurance Median
$814

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: $1,193 (666%)
Insurance Median: $814 (454%)
Cash: $1,193 (666% of Medicare)
Ins. Median: $814 (454% 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 454% of the Medicare baseline (a markup of 354%). 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 $58 - $2,197 32%
Humana $58 - $1,318 32%
Triwest - All Plans $58 - $1,294 32%
Veterans Affairs - All Plans $58 - $1,294 32%
Montana Health Co-Op - All Plans $98 - $2,368 55%
Allegiance Comm - All Other Plans $102 - $2,343 57%
Allegiance Rbphp $102 - $4,418 57%
Health Infonet - All Plans $104 - $2,343 58%
Ebms - All Plans $108 - $2,319 60%
Coventry/First Health - All Plans $2,270 1267%
UnitedHealthcare $2,270 1267%
Interwest Ppo $2,392 1335%
Pacific Source Hp - All Plans $2,392 1335%
Interwest Trad - All Other Plans $2,441 1362%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 408 Wendell Ave, Lewistown, MT 59457
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals