CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Capital Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $483
Cash Discount Price: $1,723
vs. Medicare Baseline: 2.70x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Capital Medical Center is $483. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,723. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.70x the Medicare baseline. Located in 3900 Capital Mall Dr Sw, Olympia, WA.

Cash / Self-Pay

$1,723

Average discount available for prompt cash payment at this facility.

Insurance Median

$483

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: $1,723 (961%)

Insurance Median: $483 (270%)

Cash: $1,723 (961% of Medicare)

Ins. Median: $483 (270% 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 270% of the Medicare baseline (a markup of 170%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Community Health Plan Of Washington	$194 - $326	108%
Regence	$195	109%
Aetna	$199 - $578	111%
UnitedHealthcare	$201 - $924	112%
Wellcare	$203	113%
Coordinated Care	$240	134%
Molina	$240 - $358	134%
Premera	$338 - $483	189%
Wellpoint	$350	195%
Ambetter / Centene	$358	200%
First Choice	$730 - $1,159	407%
Kaiser	$1,335	745%
Pacificsource	$1,507 - $2,175	841%
Cigna	$2,420	1350%
Multiplan/Phcs	$3,144 - $3,446	1754%
First Health	$3,661	2043%

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 $1,723.
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 Capital Medical Center 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.