CMS Price Transparency Data
CT scan, head (with and without contrast)
Facility: Chelsea Hospital
Billing Code: 70470 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70470
- Insurance Median: $1,988
- Cash Discount Price: $1,943
- vs. Medicare Baseline: 11.09x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Chelsea Hospital is $1,988. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,943. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 11.09x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$1,943
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,988
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: $1,943 (1084%)
Insurance Median: $1,988 (1109%)
Cash: $1,943 (1084% of Medicare)
Ins. Median: $1,988 (1109% 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 1109% of the Medicare baseline (a markup of 1009%). 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $98 - $186 | 55% |
| Medicaid / KanCare | $98 - $100 | 55% |
| Aetna | $145 - $1,396 | 81% |
| Geha | $145 - $2,009 | 81% |
| Meritain | $145 | 81% |
| Blue Care Network Advantage | $172 | 96% |
| Medicare (plans) | $172 - $175 | 96% |
| Align Senior Care | $175 | 98% |
| Angela Hospice | $175 | 98% |
| Arbor Hospice | $175 | 98% |
| Heartland Hospice | $175 | 98% |
| UnitedHealthcare | $181 - $2,009 | 101% |
| Bcn Domestic | $186 | 104% |
| Blue Benefit Administrators Of Massachusetts | $186 | 104% |
| Blue Care Network | $186 | 104% |
| Blue Distinction Transplant | $186 | 104% |
| Blue Shield - Ca | $186 | 104% |
| Blue Shield - Id (Regence) | $186 | 104% |
| Blue Shield - Ny Highmark Northeastern | $186 | 104% |
| Blue Shield - Ny Highmark Western | $186 | 104% |
| Blue Shield - Pa (Highmark) | $186 | 104% |
| Blue Shield - Wa (Regence) | $186 | 104% |
| Cca - Zing Health | $186 | 104% |
| Health Choices | $186 - $1,988 | 104% |
| Kaiser Domestic | $186 | 104% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $198 | 110% |
| Molina Marketplace | $228 | 127% |
| Health Cost Solutions | $272 | 152% |
| Vitalcore | $272 | 152% |
| Wellpath | $272 | 152% |
| U Of M Health Plan | $385 | 215% |
| Employee Benefit Logistic | $395 | 220% |
| Asr Health Benefits | $411 | 229% |
| Caresource | $411 | 229% |
| Hap | $411 - $2,322 | 229% |
| Varipro | $411 | 229% |
| Priority Health | $463 - $515 | 258% |
| Wc Accident Fund | $789 | 440% |
| Wc Advantage | $789 | 440% |
| Wc Aig | $789 | 440% |
| Wc Allied | $789 | 440% |
| Wc Amerisure | $789 | 440% |
| Wc Amtrust | $789 | 440% |
| Wc Asu Risk Mgt | $789 | 440% |
| Wc Berkley Admin | $789 | 440% |
| Wc Broadspire | $789 | 440% |
| Wc Bunch & Associates | $789 | 440% |
| Wc Ccmsi | $789 | 440% |
| Wc Emc Insurance Company | $789 | 440% |
| Wc Esis | $789 | 440% |
| Wc Fcci | $789 | 440% |
| Wc Federated | $789 | 440% |
| Wc Gallagher Bassett | $789 | 440% |
| Wc Genex Care For Ohio | $789 | 440% |
| Wc Guard Insurance Company | $789 | 440% |
| Wc Hartford | $789 | 440% |
| Wc Liberty Mutual | $789 | 440% |
| Wc Meijers | $789 | 440% |
| Wc Michigan | $789 | 440% |
| Wc Mitchell Frankenmuth | $789 | 440% |
| Wc Pma | $789 | 440% |
| Wc Sedgwick | $789 | 440% |
| Wc Sentry | $789 | 440% |
| Wc Travelers | $789 | 440% |
| Wc Tristar | $789 | 440% |
| Wc Walmart | $789 | 440% |
| Wc Zurich | $789 | 440% |
| Access Health | $1,988 | 1109% |
| Acclaim | $1,988 | 1109% |
| Administrative Concepts | $1,988 | 1109% |
| Allegeant | $1,988 | 1109% |
| Ameriben | $1,988 | 1109% |
| American Family | $1,988 | 1109% |
| American Healthcare Alliance | $1,988 | 1109% |
| American National | $1,988 | 1109% |
| American Republic | $1,988 | 1109% |
| Amerihealth | $1,988 | 1109% |
| Aultcare | $1,988 | 1109% |
| Automated Benefit Services | $1,988 | 1109% |
| Auxiant | $1,988 | 1109% |
| Benefit Administrative Systems,Llc | $1,988 | 1109% |
| Boon Chapman | $1,988 | 1109% |
| Cam Administrative Services | $1,988 | 1109% |
| Christian Brother Services | $1,988 | 1109% |
| Christian Brothers Holy Cross | $1,988 | 1109% |
| Comprehensive Benefits | $1,988 | 1109% |
| Continental Life Insurance | $1,988 | 1109% |
| Custom Benefit Administrators | $1,988 | 1109% |
| Employee Benefit Concepts | $1,988 | 1109% |
| Employee Benefit Management | $1,988 | 1109% |
| Enterprise Group Planning | $1,988 | 1109% |
| Freedom Life Insurance Company | $1,988 | 1109% |
| Group Administrators | $1,988 | 1109% |
| Group Marketing Services | $1,988 | 1109% |
| Guardian | $1,988 | 1109% |
| Health America | $1,988 | 1109% |
| Healthcare Management Admin | $1,988 | 1109% |
| Healthez | $1,988 | 1109% |
| Humana | $1,988 | 1109% |
| Insight | $1,988 | 1109% |
| Intercare | $1,988 | 1109% |
| Jfp Benefit Management | $1,988 | 1109% |
| Jp Farley Corporation | $1,988 | 1109% |
| Key Benefit Administrator | $1,988 | 1109% |
| Liberty Union Life Assurance Co | $1,988 | 1109% |
| Lucent Health | $1,988 | 1109% |
| Luminare Health | $1,988 | 1109% |
| Luminare Health (Detroit) | $1,988 | 1109% |
| Magnacare | $1,988 | 1109% |
| Medben | $1,988 | 1109% |
| Medcost | $1,988 | 1109% |
| Medical Mutual | $1,988 | 1109% |
| Mutual Health Services | $1,988 | 1109% |
| Mutual Of Omaha | $1,988 | 1109% |
| Ncas | $1,988 | 1109% |
| Nippon Life Ins | $1,988 | 1109% |
| Nova | $1,988 | 1109% |
| Painters Union Insurance Fund | $1,988 | 1109% |
| Physicians Mutual | $1,988 | 1109% |
| Plumbers Local 98 Insurance Fund | $1,988 | 1109% |
| Prairie States | $1,988 | 1109% |
| Preferred One | $1,988 | 1109% |
| Primary Physician Care | $1,988 | 1109% |
| Professional Benefit Administrators | $1,988 | 1109% |
| Siho Insurance Services | $1,988 | 1109% |
| Sisco Benefits | $1,988 | 1109% |
| The Loomis Company | $1,988 | 1109% |
| Unicare | $1,988 | 1109% |
| Us Health And Life | $1,988 | 1109% |
| Valenz | $1,988 | 1109% |
| Western & Southern Financial Group | $1,988 | 1109% |
| Wps | $1,988 | 1109% |
| Coventry | $2,043 | 1140% |
| First Health | $2,043 | 1140% |
| Hospice Of Michigan | $2,092 | 1167% |
| Cigna | $2,109 | 1177% |
| 1199 National Benefit Fund | $2,242 | 1251% |
| Allied National Global Care | $2,242 | 1251% |
| Asrm - Reliance Standard Life Insurance | $2,242 | 1251% |
| Christian Care Ministry | $2,242 | 1251% |
| Dean Health | $2,242 | 1251% |
| Fallon Health | $2,242 | 1251% |
| Family Life Insurance Company | $2,242 | 1251% |
| Ghc Scw | $2,242 | 1251% |
| Group Pension Administrators | $2,242 | 1251% |
| International Benefit Administrators | $2,242 | 1251% |
| Lifetime Benefit Solutions | $2,242 | 1251% |
| Manhattan Life | $2,242 | 1251% |
| Medi Share | $2,242 | 1251% |
| Multiplan | $2,242 | 1251% |
| Mvp | $2,242 | 1251% |
| Pai | $2,242 | 1251% |
| Pan-American Life | $2,242 | 1251% |
| Paramount Hmo | $2,242 | 1251% |
| Phcs | $2,242 | 1251% |
| Trinity Health Share | $2,242 | 1251% |
| Health Partners | $2,322 | 1296% |
| Tufts Health Plan | $2,322 | 1296% |
| Prime Health Services | $2,391 | 1334% |
| Three Rivers Provider Network | $2,690 | 1501% |
| Cmh Detroit Wayne Integrated Health Network | $2,989 | 1668% |
| Cmh Jackson County/Lifeways | $2,989 | 1668% |
| Cmh Lenawee County | $2,989 | 1668% |
| Cmh Livingston County | $2,989 | 1668% |
| Cmh Misc | $2,989 | 1668% |
| Cmh Monroe County | $2,989 | 1668% |
| Cmh Washtenaw County | $2,989 | 1668% |
| Magellan Behavioral Health | $2,989 | 1668% |