CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Wood County Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $895
Cash Discount Price: $1,092
vs. Medicare Baseline: 4.99x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Wood County Hospital is $895. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,092. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.99x the Medicare baseline. Located in 950 West Wooster Street, Bowling Green, OH.

Cash / Self-Pay

$1,092

Average discount available for prompt cash payment at this facility.

Insurance Median

$895

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: $1,092 (609%)

Insurance Median: $895 (499%)

Cash: $1,092 (609% of Medicare)

Ins. Median: $895 (499% 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 499% of the Medicare baseline (a markup of 399%). 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
Aetna	$159 - $992	89%
Blue Cross Blue Shield	$159 - $1,057	89%
Buckeye	$159 - $271	89%
Caresource	$159 - $191	89%
Humana	$159 - $1,005	89%
Medicare (plans)	$159	89%
Mmo	$159 - $972	89%
Paramount	$159 - $874	89%
Perennial	$159	89%
Summacare	$159	89%
United_Healthcare	$159 - $972	89%
Medigold	$163	91%
Valor	$167	93%
Frontpath	$874	488%
Advanced_Medical_Pricing	$895	499%
Cigna	$895	499%
Medben	$895	499%
Occunet	$895	499%
Ohio_Health_Choice	$928 - $994	518%
Claimdoc	$950	530%
First_Health	$983	549%
Health_Ohio_Network	$983	549%
Healthscope_Benefits	$1,016	567%
Primary_Health_Services_Dca	$1,016	567%
Multiplan	$1,026	573%
Private_Healthcare_Systems	$1,026	573%
Three_Rivers_Provider_Network	$1,026	573%
Unicare	$1,026	573%
Beech_Street	$1,037	579%
Flora	$1,037	579%
Npn_Medical_Resources	$1,037	579%
Ohio_Preferred_Provider_Network	$1,037	579%
Ohio_Health_Group	$1,059	591%

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 $1,092.
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 Wood County Hospital 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.