CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Intermountain Health Heber Valley Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $1,826
  • Cash Discount Price: $1,574
  • vs. Medicare Baseline: 10.19x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Intermountain Health Heber Valley Hospital is $1,826. 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 10.19x the Medicare baseline. Located in 454 East Medical Way, Heber City, UT.
Cash / Self-Pay
$1,574

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,826

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: $1,826 (1019%)
Cash: $1,574 (878% of Medicare)
Ins. Median: $1,826 (1019% 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 1019% of the Medicare baseline (a markup of 919%). 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
Triwest $53 - $1,586 30%
Aetna $630 - $1,852 352%
American Health $630 352%
Blue Cross Blue Shield $630 - $1,857 352%
Health Partners Of Nevada $630 352%
Health Plan Of Nevada $630 - $1,868 352%
Healthy U $630 - $1,868 352%
Humana $630 352%
Molina $630 - $1,868 352%
Selecthealth $630 - $1,868 352%
UnitedHealthcare $630 - $1,857 352%
Awh Connected $805 - $1,878 449%
Byu Athletics $805 - $1,826 449%
Campbell Scientific $805 - $1,826 449%
Cigna $805 - $1,857 449%
Deseret Mutual $805 - $1,857 449%
Emi $805 - $1,857 449%
Emi Health $805 - $1,826 449%
Franklin County $805 - $1,826 449%
Ifit $805 - $1,826 449%
Intermountain Caregiver Plan $805 - $1,857 449%
Juniper Systems $805 - $1,826 449%
Lw Miller $805 - $1,826 449%
Managed Care Admin $805 - $1,826 449%
Motivhealth $805 - $1,826 449%
Pehp $805 - $1,889 449%
Prodegi Corp Benefit $805 - $1,826 449%
Tanner Llc $805 - $1,826 449%
Utah Tech $805 - $1,826 449%
Wise Network $805 - $1,826 449%
Corporation Of The President $1,574 878%
Corvel Corporation $1,574 878%
Injury Care Of Nevada $1,574 878%
Wcf Insurance $1,574 878%
Byu Risk Management $1,784 996%
Medcare International $1,784 996%
Springtide $1,784 996%
Uofu $1,784 996%
Global Excel $1,889 1054%
Health Utah $1,889 1054%
Hygeia Corporation $1,889 1054%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 454 East Medical Way, Heber City, UT 84032
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals