CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Prosser Memorial Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $85
Cash Discount Price: $834
vs. Medicare Baseline: 0.80x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Prosser Memorial Hospital is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $834. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.80x the Medicare baseline. Located in 723 Memorial Street, Prosser, WA.

Cash / Self-Pay

$834

Average discount available for prompt cash payment at this facility.

Insurance Median

$85

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $834 (781%)

Insurance Median: $85 (80%)

Cash: $834 (781% of Medicare)

Ins. Median: $85 (80% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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
Community Health Plan Of Washington	$23 - $1,147	22%
Coordinated Care	$23 - $1,147	22%
Kaiser Permanente	$23 - $2,578	22%
UnitedHealthcare	$23 - $1,355	22%
Amerigroup	$24 - $1,216	22%
Molina	$24 - $1,147	22%
Health Alliance Northwest	$45 - $708	42%
Humana	$45 - $2,408	42%
Wellcare	$45 - $708	42%
Aetna	$46 - $2,408	43%
Cigna	$50 - $2,323	47%
Premera	$54 - $2,266	51%
Asuris	$60 - $2,550	56%
Health Management Adminstrators	$60 - $2,550	56%
Regence	$60 - $2,550	56%
Ambetter / Centene	$81 - $2,181	76%
Multiplan	$171 - $2,550	160%
First Choice	$2,408	2254%

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 $834.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Prosser Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.