CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Othello Community Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $2,006
  • Cash Discount Price: $1,880
  • vs. Medicare Baseline: 11.19x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Othello Community Hospital is $2,006. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,880. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 11.19x the Medicare baseline. Located in 315 North 14Th Avenue, Othello, WA.
Cash / Self-Pay
$1,880

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,006

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: $1,880 (1049%)
Insurance Median: $2,006 (1119%)
Cash: $1,880 (1049% of Medicare)
Ins. Median: $2,006 (1119% 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 1119% of the Medicare baseline (a markup of 1019%). 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
Ambetter / Centene $1,066 - $1,078 595%
Amerigroup Mcaid $1,066 595%
Chp Mcaid $1,066 595%
Cocare - All Plans $1,066 595%
Gau - All Plans $1,066 595%
Kaiser - All Plans $1,066 595%
Molina Mcaid $1,066 595%
UnitedHealthcare $1,066 - $2,507 595%
Chp - All Other Plans $1,078 602%
Molina - All Other Plans $1,078 602%
Medicare (plans) $1,254 700%
Tricare $1,630 910%
Triwest - All Plans $1,630 910%
Asuris - All Plans $2,006 1119%
Commercial Other - All Plans $2,006 1119%
Hma - All Plans $2,006 1119%
Hmso - All Plans $2,006 1119%
Tpsc - All Plans $2,006 1119%
Travelers - All Plans $2,006 1119%
Veterans Admin - All Plans $2,006 1119%
Blue Cross Blue Shield $2,106 1175%
Cigna $2,231 1245%
First Choice - All Plans $2,256 1259%
Aetna $2,357 1315%
Chp Mcr Adv $2,507 1399%
Health Alliance Mcr Adv - All Plans $2,507 1399%
Humana $2,507 1399%
Molina Mcare $2,507 1399%
Wellcare Mcr Adv - All Plans $2,507 1399%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 North 14Th Avenue, Othello, WA 99344
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals