CMS Price Transparency Data
CT scan, head (no contrast)
Facility: Mount Carmel East & West
Billing Code: 70450 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70450
- Insurance Median: $703
- Cash Discount Price: $978
- vs. Medicare Baseline: 6.58x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Mount Carmel East & West is $703. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $978. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.58x the Medicare baseline. Located in 6001 East Broad Street, Columbus, OH.
Cash / Self-Pay
$978
Average discount available for prompt cash payment at this facility.
Insurance Median
$703
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$106.81
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $978 (916%)
Insurance Median: $703 (658%)
Cash: $978 (916% of Medicare)
Ins. Median: $703 (658% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $106.81 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 658% of the Medicare baseline (a markup of 558%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 |
|---|---|---|
| Medicare (plans) | $87 - $25,965 | 81% |
| Aetna | $97 - $44,210 | 91% |
| Blue Cross Blue Shield | $97 - $94,012 | 91% |
| Hospice Mount Carmel | $99 - $24,728 | 93% |
| Oscar | $99 - $40,802 | 93% |
| UnitedHealthcare | $99 - $55,023 | 93% |
| The Health Plan | $101 - $25,223 | 95% |
| Enterprise Group Planning | $191 - $47,726 | 179% |
| Custom Design Benefits | $207 - $51,682 | 194% |
| Quality Care Partners | $224 - $55,886 | 210% |
| Medical Mutual | $248 - $86,016 | 232% |
| Western & Southern Financial Group | $344 - $86,016 | 322% |
| Blue Benefit Administrators Of Massachusetts | $376 - $94,012 | 352% |
| Blue Care Network | $376 - $94,012 | 352% |
| Blue Distinction Transplant | $376 - $94,012 | 352% |
| Blue Shield - Ca | $376 - $94,012 | 352% |
| Blue Shield - Id (Regence) | $376 - $94,012 | 352% |
| Blue Shield - Ny Highmark Northeastern | $376 - $94,012 | 352% |
| Blue Shield - Ny Highmark Western | $376 - $94,012 | 352% |
| Blue Shield - Pa (Highmark) | $376 - $94,012 | 352% |
| Blue Shield - Wa (Regence) | $376 - $94,012 | 352% |
| Crime Victim Assistance | $632 | 592% |
| Ohio Safe Program | $632 | 592% |
| Geha | $676 - $55,023 | 633% |
| Gravie Admin Services | $676 | 633% |
| Healthez | $676 | 633% |
| Meritain | $676 | 633% |
| Webtpa | $676 | 633% |
| Access Health | $703 | 658% |
| Acclaim | $703 | 658% |
| Administrative Concepts | $703 | 658% |
| Allegeant | $703 | 658% |
| Allied Benefit Systems | $703 | 658% |
| American Family | $703 | 658% |
| American Healthcare Alliance | $703 | 658% |
| American National | $703 | 658% |
| American Republic | $703 | 658% |
| Amerihealth | $703 | 658% |
| Aultcare | $703 | 658% |
| Automated Benefit Services | $703 | 658% |
| Auxiant | $703 | 658% |
| Benefit Administrative Systems,Llc | $703 | 658% |
| Boon Chapman | $703 | 658% |
| Cam Administrative Services | $703 | 658% |
| Christian Brother Services | $703 | 658% |
| Christian Brothers Holy Cross | $703 | 658% |
| Claimchoice Adminstrators | $703 | 658% |
| Comprehensive Benefits | $703 | 658% |
| Continental Life Insurance | $703 | 658% |
| Coventry | $703 | 658% |
| Custom Benefit Administrators | $703 | 658% |
| Cypress Benefit Administrators | $703 | 658% |
| Employee Benefit Concepts | $703 | 658% |
| Employee Benefit Management | $703 | 658% |
| Forest County Potawatomi | $703 | 658% |
| Freedom Life Insurance Company | $703 | 658% |
| Group Administrators | $703 | 658% |
| Group Marketing Services | $703 | 658% |
| Group Pension Administrators | $703 | 658% |
| Guardian | $703 | 658% |
| Health America | $703 | 658% |
| Health Choices | $703 | 658% |
| Healthcare Management Admin | $703 | 658% |
| Insight | $703 | 658% |
| Intercare | $703 | 658% |
| Jfp Benefit Management | $703 | 658% |
| Jp Farley Corporation | $703 | 658% |
| Key Benefit Administrator | $703 | 658% |
| Liberty Union Life Assurance Co | $703 | 658% |
| Lucent Health | $703 | 658% |
| Luminare Health | $703 | 658% |
| Magnacare | $703 | 658% |
| Medcost | $703 | 658% |
| Mutual Health Services | $703 | 658% |
| Mutual Of Omaha | $703 | 658% |
| Ncas | $703 | 658% |
| Nippon Life Ins | $703 | 658% |
| Nova | $703 | 658% |
| Painters Union Insurance Fund | $703 | 658% |
| Physicians Mutual | $703 | 658% |
| Plumbers Local 98 Insurance Fund | $703 | 658% |
| Prairie States | $703 | 658% |
| Preferred One | $703 | 658% |
| Primary Physician Care | $703 | 658% |
| Professional Benefit Administrators | $703 | 658% |
| Secureone Preferred United Plans | $703 | 658% |
| Siho Insurance Services | $703 | 658% |
| Sisco Benefits | $703 | 658% |
| The Loomis Company | $703 | 658% |
| Trustmark Small Business Benefits | $703 | 658% |
| U Of M Health Plan | $703 | 658% |
| Unicare | $703 | 658% |
| Unified Group Services | $703 | 658% |
| Us Health And Life | $703 | 658% |
| Valenz | $703 | 658% |
| Varipro | $703 | 658% |
| Wps | $703 | 658% |
| Humana | $770 - $1,505 | 721% |
| First Health | $793 | 742% |
| Medben | $903 - $1,129 | 845% |
| Consociate | $920 | 861% |
| Health Ohio Network | $920 | 861% |
| Caresource | $1,099 | 1029% |
| American Postal Workers Secondary | $1,126 - $46,956 | 1054% |
| Cigna | $1,126 - $46,956 | 1054% |
| Health Partners | $1,126 - $46,956 | 1054% |
| Healthgram | $1,126 - $46,956 | 1054% |
| Mvp | $1,126 - $46,956 | 1054% |
| Priority Health | $1,126 - $46,956 | 1054% |
| Healthlink Inc | $1,129 | 1057% |
| Medical Benefits Mutual | $1,129 | 1057% |
| Ohio Health Choice | $1,129 | 1057% |
| Ohio Ppo Connect | $1,129 | 1057% |
| Medi Share | $1,202 | 1125% |
| Multiplan | $1,202 | 1125% |
| Phcs | $1,202 | 1125% |
| Philadelphia American Life Insurance | $1,202 | 1125% |
| Ameriben | $1,204 | 1127% |
| Luminare Health (Detroit) | $1,204 | 1127% |
| Ohiohealthy | $1,204 | 1127% |
| Osu Not Independent Choice | $1,204 | 1127% |
| Twin Valley Psychiatric | $1,204 | 1127% |
| Health Smart | $1,279 | 1197% |
| Rural Carrier Health Benefit Plan | $1,370 - $44,210 | 1283% |
| Bccp | $1,505 | 1409% |
| Medicaid / KanCare | $1,505 | 1409% |
| Optima Health | $1,505 | 1409% |