CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Legacy Emanuel Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $322
Cash Discount Price: $1,074
vs. Medicare Baseline: 1.80x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Legacy Emanuel Medical Center is $322. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,074. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.80x the Medicare baseline. Located in 2801 N Gantenbein Avenue, Portland, OR.

Cash / Self-Pay

$1,074

Average discount available for prompt cash payment at this facility.

Insurance Median

$322

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: $1,074 (599%)

Insurance Median: $322 (180%)

Cash: $1,074 (599% of Medicare)

Ins. Median: $322 (180% 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.

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
Kaiser	$195 - $390	109%
Atrio	$201	112%
Aetna	$204 - $205	114%
Healthnet	$207 - $695	116%
Careoregon	$211	118%
Ageright	$214	119%
Moda	$218 - $754	122%
Pacificsource	$254 - $580	142%
Cigna	$498	278%
Blue Cross Blue Shield	$514 - $753	287%

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 $1,074.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Legacy Emanuel Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.