CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Bay Area Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $317
Cash Discount Price: $1,156
vs. Medicare Baseline: 1.77x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Bay Area Hospital is $317. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,156. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.77x the Medicare baseline. Located in 1775 Thompson Road, Coos Bay, OR.

Cash / Self-Pay

$1,156

Average discount available for prompt cash payment at this facility.

Insurance Median

$317

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: $1,156 (645%)

Insurance Median: $317 (177%)

Cash: $1,156 (645% of Medicare)

Ins. Median: $317 (177% 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
Healthnet Mcr Adv	$63 - $226	35%
Moda Hlth Mcr Adv	$63 - $230	35%
Southwest Oregon Ipa - All Plans	$72 - $173	40%
Ods Ppo/Pos - All Plans	$90 - $812	50%
Blue Cross Blue Shield	$137 - $10,173	76%
Nasomah Hlth Grp - All Plans	$145 - $1,705	81%
Moda Beacon - All Other Plans	$156 - $566	87%
Moda Connexus/Synergy	$173 - $2,528	97%
Healthnet Mcaid	$209 - $242	117%
Healthnet Comm- All Other Plans	$230 - $2,699	128%
Prov Behav Hlth	$317	177%
Providence - All Other Plans	$317 - $2,642	177%
Providence Pebb	$317 - $806	177%
Pacificsource - All Plans	$430 - $2,415	240%
First Choice - All Plans	$2,585	1443%
Aetna	$2,614	1459%
Cigna	$2,614	1459%
UnitedHealthcare	$2,699	1506%

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 $1,156.
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 Bay Area Hospital 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.