CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Intermountain Health Fillmore Community Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $1,994
  • Cash Discount Price: $1,574
  • vs. Medicare Baseline: 11.13x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Intermountain Health Fillmore Community Hospital is $1,994. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,574. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 11.13x the Medicare baseline. Located in 674 South Highway 99, Fillmore, UT.
Cash / Self-Pay
$1,574

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,994

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: $1,574 (878%)
Insurance Median: $1,994 (1113%)
Cash: $1,574 (878% of Medicare)
Ins. Median: $1,994 (1113% 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 1113% of the Medicare baseline (a markup of 1013%). 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 $53 - $2,015 30%
American Health $53 - $965 30%
Blue Cross Blue Shield $53 - $1,994 30%
Health Partners Of Nevada $53 - $965 30%
Health Plan Of Nevada $53 - $1,868 30%
Humana $53 - $965 30%
Molina $53 - $1,994 30%
Selecthealth $53 - $1,994 30%
UnitedHealthcare $53 - $1,994 30%
Awh Connected $805 - $2,015 449%
Byu Athletics $805 - $1,994 449%
Campbell Scientific $805 - $1,994 449%
Cigna $805 - $1,994 449%
Deseret Mutual $805 - $1,994 449%
Emi $805 - $1,994 449%
Emi Health $805 - $1,994 449%
Franklin County $805 - $1,994 449%
Health Utah $805 - $1,994 449%
Ifit $805 - $1,994 449%
Juniper Systems $805 - $1,994 449%
Lw Miller $805 - $1,994 449%
Managed Care Admin $805 - $1,994 449%
Motivhealth $805 - $1,994 449%
Pehp $805 - $1,994 449%
Prodegi Corp Benefit $805 - $1,994 449%
Tanner Llc $805 - $1,994 449%
Utah Tech $805 - $1,994 449%
Wise Network $805 - $1,994 449%
Triwest $926 517%
Healthy U $965 - $1,868 539%
Injury Care Of Nevada $1,574 878%
Byu Risk Management $1,784 996%
Corporation Of The President $1,784 996%
Corvel Corporation $1,784 996%
Wcf Insurance $1,784 996%
Global Excel $1,994 1113%
Hygeia Corporation $1,994 1113%
Medcare International $1,994 1113%
Springtide $1,994 1113%
Uofu $1,994 1113%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 674 South Highway 99, Fillmore, UT 84631
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals