CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Cascade Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $397
Cash Discount Price: $1,184
vs. Medicare Baseline: 2.22x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Cascade Medical Center is $397. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,184. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.22x the Medicare baseline. Located in 817 Commercial Street, Leavenworth, WA.

Cash / Self-Pay

$1,184

Average discount available for prompt cash payment at this facility.

Insurance Median

$397

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: $1,184 (661%)

Insurance Median: $397 (222%)

Cash: $1,184 (661% of Medicare)

Ins. Median: $397 (222% 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 222% of the Medicare baseline (a markup of 122%). 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
Aetna	$59 - $2,252	33%
Asuris Northwest Health	$59 - $2,252	33%
Blue Cross Blue Shield	$59 - $1,902	33%
Humana	$59 - $1,447	33%
Medicare (plans)	$59 - $1,447	33%
Molina Healthcare Of Washington Mcr Adv	$60 - $1,461	33%
Wellcare Health Plan Inc Mcr Adv	$64 - $1,562	36%
Tricare	$156	87%
First Choice Health Network	$219	122%
Pacificsource Health Plans	$219	122%
Medicaid / KanCare	$244 - $1,336	136%
Community Health Plan Of Wa Mcd Rep	$254 - $1,392	142%
Coordinated Care Of Wa Mcd Rep	$254 - $1,392	142%
Molina Healthcare Of Washington Mcd Rep	$254 - $1,392	142%
Ambetter / Centene	$287 - $1,569	160%
Washington Department Of Labor And Industry	$289	161%
Community Health Plan Of Wa	$297 - $1,626	166%
Cigna	$382 - $2,092	213%

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 $1,184.
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 Cascade 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.