CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Adventist Health Tillamook

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,073
Cash Discount Price: $893
vs. Medicare Baseline: 5.99x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Adventist Health Tillamook is $1,073. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $893. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.99x the Medicare baseline. Located in 1000 Third Street, Tillamook, OR.

Cash / Self-Pay

$893

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,073

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: $893 (498%)

Insurance Median: $1,073 (599%)

Cash: $893 (498% of Medicare)

Ins. Median: $1,073 (599% 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 599% of the Medicare baseline (a markup of 499%). 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
UnitedHealthcare	$44 - $2,085	25%
Aetna	$51 - $2,041	28%
Moda Health Plan - All Plans	$52 - $1,032	29%
Sterling Life - All Plans	$53 - $1,073	30%
Medicare (plans)	$54 - $1,032	30%
Devoted Health	$55 - $1,114	31%
Blue Cross Blue Shield	$59 - $1,910	33%
Hvhs Mcare - All Plans	$62 - $1,042	35%
Pacificsource - All Plans	$115 - $2,107	64%
Ods Health Plan - All Other Plans	$120 - $2,129	67%
Lifewise - All Plans	$334 - $1,980	186%
Ah Employee Health Plan - All Plans	$348 - $2,063	194%
First Choice Health- All Plans	$348 - $2,063	194%
Health Net - All Plans	$348 - $2,063	194%
Providence Preferred - All Plans	$363 - $2,151	203%
Workers Comp	$370 - $2,195	206%
Cigna	$1,571 - $2,085	877%
Phcs Preferred - All Plans	$1,571 - $2,085	877%

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 $893.
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 Adventist Health Tillamook 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.