CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Prov Sacred Hrt Med Ctr & Childs Hosp.

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $369
  • Cash Discount Price: $1,260
  • vs. Medicare Baseline: 2.06x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Prov Sacred Hrt Med Ctr & Childs Hosp. is $369. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,260. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.06x the Medicare baseline. Located in 101 West 8Th Avenue, Spokane, WA.
Cash / Self-Pay
$1,260

Average discount available for prompt cash payment at this facility.

Insurance Median
$369

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: $1,260 (703%)
Insurance Median: $369 (206%)
Cash: $1,260 (703% of Medicare)
Ins. Median: $369 (206% 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 206% of the Medicare baseline (a markup of 106%). 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
Kaiser $195 - $493 109%
Aetna $201 - $1,379 112%
UnitedHealthcare $205 - $648 114%
Blue Shield $211 - $485 118%
Community Health Plan $215 120%
Cigna $235 - $629 131%
Molina $330 184%
Blue Cross Blue Shield $352 - $477 196%
Coordinated Care $362 202%
Providence Health Plan $497 277%
First Choice $656 366%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 West 8Th Avenue, Spokane, WA 99220
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals