CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Jefferson Healthcare

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $608
Cash Discount Price: $860
vs. Medicare Baseline: 5.69x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Jefferson Healthcare is $608. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $860. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.69x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.

Cash / Self-Pay

$860

Average discount available for prompt cash payment at this facility.

Insurance Median

$608

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: $860 (805%)

Insurance Median: $608 (569%)

Cash: $860 (805% of Medicare)

Ins. Median: $608 (569% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 569% of the Medicare baseline (a markup of 469%). 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
Tricare	$40 - $666	37%
Chpw Mcr Adv	$43 - $720	40%
Aetna	$46 - $1,714	43%
Medicare (plans)	$46 - $680	43%
Molina Mcr Adv	$46 - $666	43%
Molina Marketplace-All Other Plans	$50 - $833	47%
Chpw Commercial-All Other Plans	$60 - $1,618	56%
Coord Care Comm/Exchge-All Other Plans	$64 - $1,714	60%
Chpw Mcaid	$67 - $595	63%
Molina Mcaid	$67 - $608	63%
Amerigroup Mcaid-All Plans	$69 - $625	65%
Regence-All Other Plans	$184 - $1,428	172%
Premera-All Plans	$209 - $1,618	196%
Cigna	$221 - $1,714	207%
Coord Care Mcaid Ip/Op Only	$637	596%
UnitedHealthcare	$1,066	998%
Coord Care Cascade Ip/Op Only	$1,714	1605%

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 $860.
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 Jefferson Healthcare 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.