CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Jefferson Healthcare

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $873
Cash Discount Price: $1,168
vs. Medicare Baseline: 4.87x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Jefferson Healthcare is $873. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,168. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.87x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.

Cash / Self-Pay

$1,168

Average discount available for prompt cash payment at this facility.

Insurance Median

$873

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: $1,168 (652%)

Insurance Median: $873 (487%)

Cash: $1,168 (652% of Medicare)

Ins. Median: $873 (487% 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 487% of the Medicare baseline (a markup of 387%). 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	$59 - $957	33%
Chpw Mcr Adv	$64 - $1,034	36%
Aetna	$68 - $2,462	38%
Medicare (plans)	$68 - $976	38%
Molina Mcr Adv	$68 - $957	38%
Molina Marketplace-All Other Plans	$74 - $1,197	41%
Chpw Commercial-All Other Plans	$89 - $2,325	50%
Coord Care Comm/Exchge-All Other Plans	$95 - $2,462	53%
Chpw Mcaid	$109 - $854	61%
Molina Mcaid	$109 - $873	61%
Amerigroup Mcaid-All Plans	$112 - $898	63%
Regence-All Other Plans	$139 - $2,051	78%
Premera-All Plans	$158 - $2,325	88%
Cigna	$167 - $2,462	93%
Coord Care Mcaid Ip/Op Only	$915	511%
UnitedHealthcare	$1,532	855%
Coord Care Cascade Ip/Op Only	$2,462	1374%

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 $1,168.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

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 70470.
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.