CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Astria Toppenish Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $358
Cash Discount Price: $2,482
vs. Medicare Baseline: 2.00x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Astria Toppenish Hospital is $358. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,482. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.00x the Medicare baseline. Located in 502 W Fourth Ave, Toppenish, WA.

Cash / Self-Pay

$2,482

Average discount available for prompt cash payment at this facility.

Insurance Median

$358

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: $2,482 (1385%)

Insurance Median: $358 (200%)

Cash: $2,482 (1385% of Medicare)

Ins. Median: $358 (200% 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
Aetna	$187 - $3,361	104%
Cigna	$187	104%
Humana	$187 - $3,819	104%
Medicaid / KanCare	$187 - $358	104%
Medicare (plans)	$187 - $3,154	104%
Tricare	$187	104%
Zenith	$189	105%
Li	$190	106%
Ambetter / Centene	$285	159%
UnitedHealthcare	$285 - $3,154	159%
Va	$285	159%
Molina	$290	162%
Molina_Exchange	$370	206%
Kaiser	$725	405%
Regence	$1,295	723%
Premera	$1,440	804%
Premera_Affordable_Care	$1,440	804%
Chpw_Cascade_Care	$2,406	1343%
First_Choice	$2,635	1470%
Tpsc	$2,979	1662%
Bcchp	$3,819	2131%
Great_Rivers	$3,819	2131%
Healthcomp	$3,819	2131%
Washington_State_Hca	$3,819	2131%

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 $2,482.
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 Astria Toppenish Hospital 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.