CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Union Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $177
  • Cash Discount Price: $738
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Union Hospital is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $738. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.99x the Medicare baseline. Located in 659 Boulevard, Dover, OH.
Cash / Self-Pay
$738

Average discount available for prompt cash payment at this facility.

Insurance Median
$177

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: $738 (412%)
Insurance Median: $177 (99%)
Cash: $738 (412% of Medicare)
Ins. Median: $177 (99% 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.

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
Summacare $37 - $1,177 21%
Aetna $57 - $1,682 32%
Blue Cross Blue Shield $57 - $605 32%
Cigna $57 - $511 32%
Humana $57 - $164 32%
The Health Plan $57 - $976 32%
United $57 - $561 32%
Valor $57 - $164 32%
Mmo $58 - $1,177 32%
Aultcare $59 - $511 33%
Communicare $59 - $173 33%
Perennial Health $61 - $178 34%
Pphp $61 - $181 34%
Zing Health $62 - $181 35%
Cc Ehp $64 - $847 36%
Oscar $146 - $449 81%
UnitedHealthcare $159 - $164 89%
Buckeye $163 - $345 91%
Molina $163 - $362 91%
Devoted Health $164 92%
Upmc $164 - $1,009 92%
Caresource $171 - $345 95%
Amerihealth $179 - $379 100%
Ohcp $213 - $654 119%
Omas $274 - $841 153%
Healthsmart $301 - $925 168%
Phphi $328 - $1,009 183%
Gms $383 - $1,177 214%
Consociate Health $410 - $1,262 229%
Multiplan $492 - $1,514 275%
Amish Community Aid Plan $511 - $568 285%
Ohio Healthy $613 342%
Php $681 380%
Medical Benefit Corp $794 443%
Frontpath $1,022 570%
Managed Care Services $1,022 570%
Tertiary Care Network $1,022 570%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 659 Boulevard, Dover, OH 44622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals