CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Wilson Memorial Hospital

Billing Code: 70460 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$186
about 1.0× the $179 Medicare rate · typically $174–$534
modeled estimate · not a bill or quote
What this hospital charges insurers
$803
Well above the fair price
about $617 over the fair price · 4.5× Medicare
Medicare pays $179 Fair price $186 This hospital $803 Cash price $1,250 Hospital's list price $2,500

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $74 Priciest $803

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, head (with contrast) is about $186 (about 1.0× the $179 Medicare rate). Wilson Memorial Hospital charges insurers about $803, or about $1,250 in cash — well above the fair price. Located in Sidney, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $186. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,226 - $1,347 684%
Blue Cross Blue Shieldmajor $803 - $2,148 448%
Aetnamajor $1,975 1102%
Cignamajor $2,250 1256%
Medical Mutual $1,396 779%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 915 West Michigan Street, Sidney, OH 45365
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals