CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Multicare Valley Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $405
  • Cash Discount Price: $1,370
  • vs. Medicare Baseline: 2.26x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Multicare Valley Hospital is $405. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,370. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.26x the Medicare baseline. Located in 12606 East Mission Avenue, Spokane Valley, WA.
Cash / Self-Pay
$1,370

Average discount available for prompt cash payment at this facility.

Insurance Median
$405

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: $1,370 (765%)
Insurance Median: $405 (226%)
Cash: $1,370 (765% of Medicare)
Ins. Median: $405 (226% 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 226% of the Medicare baseline (a markup of 126%). 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
Blue Cross Blue Shield $186 104%
Community Health Plan Of Washington $186 - $314 104%
Molina $186 - $366 104%
Aetna $192 - $665 107%
Regence $192 107%
UnitedHealthcare $194 - $550 108%
Wellcare $195 109%
Coordinated Care $216 121%
Wellpoint $216 121%
Premera $319 - $486 178%
Ambetter / Centene $344 192%
Regence/Asuris $405 226%
Cigna $440 246%
Pacificsource $918 - $1,087 512%
First Choice $1,313 - $2,387 733%
Kaiser $1,335 745%
First Health $2,466 1376%
Multiplan/Phcs $2,466 1376%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12606 East Mission Avenue, Spokane Valley, WA 99216
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals