CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Othello Community Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,925
Cash Discount Price: $1,805
vs. Medicare Baseline: 10.74x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Othello Community Hospital is $1,925. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,805. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 10.74x the Medicare baseline. Located in 315 North 14Th Avenue, Othello, WA.

Cash / Self-Pay

$1,805

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,925

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: $1,805 (1007%)

Insurance Median: $1,925 (1074%)

Cash: $1,805 (1007% of Medicare)

Ins. Median: $1,925 (1074% 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 1074% of the Medicare baseline (a markup of 974%). 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
Ambetter / Centene	$1,023 - $1,035	571%
Amerigroup Mcaid	$1,023	571%
Chp Mcaid	$1,023	571%
Cocare - All Plans	$1,023	571%
Gau - All Plans	$1,023	571%
Kaiser - All Plans	$1,023	571%
Molina Mcaid	$1,023	571%
UnitedHealthcare	$1,023 - $2,406	571%
Chp - All Other Plans	$1,035	578%
Molina - All Other Plans	$1,035	578%
Medicare (plans)	$1,203	671%
Tricare	$1,564	873%
Triwest - All Plans	$1,564	873%
Asuris - All Plans	$1,925	1074%
Commercial Other - All Plans	$1,925	1074%
Hma - All Plans	$1,925	1074%
Hmso - All Plans	$1,925	1074%
Tpsc - All Plans	$1,925	1074%
Travelers - All Plans	$1,925	1074%
Veterans Admin - All Plans	$1,925	1074%
Blue Cross Blue Shield	$2,021	1128%
Cigna	$2,141	1195%
First Choice - All Plans	$2,165	1208%
Aetna	$2,262	1262%
Chp Mcr Adv	$2,406	1343%
Health Alliance Mcr Adv - All Plans	$2,406	1343%
Humana	$2,406	1343%
Molina Mcare	$2,406	1343%
Wellcare Mcr Adv - All Plans	$2,406	1343%

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 $1,805.
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 Othello Community Hospital 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.