CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Banner Churchill Community Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $1,251
  • Cash Discount Price: $584
  • vs. Medicare Baseline: 6.98x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Banner Churchill Community Hospital is $1,251. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $584. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.98x the Medicare baseline. Located in 801 East Williams Avenue, Fallon, NV.
Cash / Self-Pay
$584

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,251

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: $584 (326%)
Insurance Median: $1,251 (698%)
Cash: $584 (326% of Medicare)
Ins. Median: $1,251 (698% 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 698% of the Medicare baseline (a markup of 598%). 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
Aetna $361 - $1,307 201%
Banner Health $445 248%
Hometown Health $445 - $1,320 248%
Silversummit Healthplan $445 - $1,251 248%
Triwest Healthcare Alliance Corp - Va Ccn $445 - $570 248%
UnitedHealthcare $445 - $1,251 248%
Humana $471 263%
Nevada Preferred Healthcare Providers $1,251 698%
Blue Cross Blue Shield $1,279 714%
Multiplan $1,307 729%
Cigna $1,312 732%
Coventry $1,334 744%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 East Williams Avenue, Fallon, NV 89406
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals