CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Central Montana Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $576
  • Cash Discount Price: $805
  • vs. Medicare Baseline: 3.21x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Central Montana Medical Center is $576. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $805. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.21x the Medicare baseline. Located in 408 Wendell Ave, Lewistown, MT.
Cash / Self-Pay
$805

Average discount available for prompt cash payment at this facility.

Insurance Median
$576

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: $805 (449%)
Insurance Median: $576 (321%)
Cash: $805 (449% of Medicare)
Ins. Median: $576 (321% 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 321% of the Medicare baseline (a markup of 221%). 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 $51 - $1,482 28%
Humana $51 - $889 28%
Triwest - All Plans $51 - $873 28%
Veterans Affairs - All Plans $51 - $873 28%
Montana Health Co-Op - All Plans $87 - $1,597 49%
Allegiance Comm - All Other Plans $91 - $1,581 51%
Allegiance Rbphp $91 - $2,981 51%
Health Infonet - All Plans $93 - $1,581 52%
Ebms - All Plans $96 - $1,564 54%
Coventry/First Health - All Plans $1,531 854%
UnitedHealthcare $1,531 854%
Interwest Ppo $1,614 901%
Pacific Source Hp - All Plans $1,614 901%
Interwest Trad - All Other Plans $1,647 919%

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