CMS Price Transparency Data

CT scan, head (with contrast)

Facility: University of Cincinnati Medical Center, LLC

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $239
Cash Discount Price: $888
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at University of Cincinnati Medical Center, LLC is $239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $888. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.33x the Medicare baseline. Located in 3188 Bellevue Avenue, Cincinnati, OH.

Cash / Self-Pay

$888

Average discount available for prompt cash payment at this facility.

Insurance Median

$239

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: $888 (496%)

Insurance Median: $239 (133%)

Cash: $888 (496% of Medicare)

Ins. Median: $239 (133% 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.

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
Aetna	$174 - $300	97%
Caresource	$176 - $226	98%
Perennial Advantage	$177	99%
Buckeye Health Plan	$183 - $243	102%
Communicare Advantage	$191	107%
Blue Cross Blue Shield	$224 - $508	125%
Humana	$235	131%
Oscar	$313 - $501	175%
Cincinnati Public Library	$329	184%

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 $888.
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 University of Cincinnati Medical Center, LLC 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.