CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Southern Coos Hospital & Health Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,907
Cash Discount Price: $1,548
vs. Medicare Baseline: 10.64x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Southern Coos Hospital & Health Center is $1,907. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,548. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 10.64x the Medicare baseline. Located in 900 11Th Street Se, Bandon, OR.

Cash / Self-Pay

$1,548

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,907

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: $1,548 (864%)

Insurance Median: $1,907 (1064%)

Cash: $1,548 (864% of Medicare)

Ins. Median: $1,907 (1064% 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 1064% of the Medicare baseline (a markup of 964%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Cigna	$94 - $2,283	52%
Moda Health Plan - All Other Plans	$94 - $2,572	52%
Blue Cross Blue Shield	$95 - $2,687	53%
Providence Preferred - All Plans	$106 - $2,745	59%
Tricare	$181 - $1,678	101%
Aetna	$206 - $2,600	115%
Atrio Mcr Adv - Allplans	$206 - $1,907	115%
Confederated Tribes - All Plans	$206 - $1,907	115%
Moda Mcr Adv	$206 - $1,907	115%
Pacific Source Mcr Adv	$206 - $1,907	115%
Advanced Health - All Plans	$1,820	1016%
Healthnet - All Plans	$2,398	1338%
Prov Netwrk Of America - All Plans	$2,600	1451%
Three Rivers - All Plans	$2,600	1451%
UnitedHealthcare	$2,600	1451%
First Choice - All Plans	$2,658	1483%
Multiplan - All Plans	$2,687	1499%
First Health - All Plans	$2,745	1532%
Pacific Source - All Other Plans	$2,745	1532%

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 $1,548.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Southern Coos Hospital & Health Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
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.