CMS Price Transparency Data
CT scan, head (with contrast)
Facility: Mount Carmel East & West
Billing Code: 70460 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70460
- Insurance Median: $722
- Cash Discount Price: $1,005
- vs. Medicare Baseline: 4.03x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Mount Carmel East & West is $722. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,005. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.03x the Medicare baseline. Located in 6001 East Broad Street, Columbus, OH.
Cash / Self-Pay
$1,005
Average discount available for prompt cash payment at this facility.
Insurance Median
$722
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: $1,005 (561%)
Insurance Median: $722 (403%)
Cash: $1,005 (561% of Medicare)
Ins. Median: $722 (403% 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 403% of the Medicare baseline (a markup of 303%). 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) | $146 - $174 | 81% |
| Aetna | $163 - $1,546 | 91% |
| Blue Cross Blue Shield | $163 - $1,546 | 91% |
| Hospice Mount Carmel | $166 | 93% |
| Oscar | $166 | 93% |
| UnitedHealthcare | $166 - $1,182 | 93% |
| The Health Plan | $169 - $1,016 | 94% |
| Enterprise Group Planning | $320 | 179% |
| Custom Design Benefits | $347 | 194% |
| Quality Care Partners | $375 | 209% |
| Medical Mutual | $416 - $1,177 | 232% |
| Western & Southern Financial Group | $577 | 322% |
| Blue Benefit Administrators Of Massachusetts | $631 | 352% |
| Blue Care Network | $631 | 352% |
| Blue Distinction Transplant | $631 | 352% |
| Blue Shield - Ca | $631 | 352% |
| Blue Shield - Id (Regence) | $631 | 352% |
| Blue Shield - Ny Highmark Northeastern | $631 | 352% |
| Blue Shield - Ny Highmark Western | $631 | 352% |
| Blue Shield - Pa (Highmark) | $631 | 352% |
| Blue Shield - Wa (Regence) | $631 | 352% |
| Crime Victim Assistance | $632 | 353% |
| Ohio Safe Program | $632 | 353% |
| Geha | $694 - $1,182 | 387% |
| Gravie Admin Services | $694 | 387% |
| Healthez | $694 | 387% |
| Meritain | $694 | 387% |
| Webtpa | $694 | 387% |
| Access Health | $722 | 403% |
| Acclaim | $722 | 403% |
| Administrative Concepts | $722 | 403% |
| Allegeant | $722 | 403% |
| Allied Benefit Systems | $722 | 403% |
| American Family | $722 | 403% |
| American Healthcare Alliance | $722 | 403% |
| American National | $722 | 403% |
| American Republic | $722 | 403% |
| Amerihealth | $722 | 403% |
| Aultcare | $722 | 403% |
| Automated Benefit Services | $722 | 403% |
| Auxiant | $722 | 403% |
| Benefit Administrative Systems,Llc | $722 | 403% |
| Boon Chapman | $722 | 403% |
| Cam Administrative Services | $722 | 403% |
| Christian Brother Services | $722 | 403% |
| Christian Brothers Holy Cross | $722 | 403% |
| Claimchoice Adminstrators | $722 | 403% |
| Comprehensive Benefits | $722 | 403% |
| Continental Life Insurance | $722 | 403% |
| Coventry | $722 | 403% |
| Custom Benefit Administrators | $722 | 403% |
| Cypress Benefit Administrators | $722 | 403% |
| Employee Benefit Concepts | $722 | 403% |
| Employee Benefit Management | $722 | 403% |
| Forest County Potawatomi | $722 | 403% |
| Freedom Life Insurance Company | $722 | 403% |
| Group Administrators | $722 | 403% |
| Group Marketing Services | $722 | 403% |
| Group Pension Administrators | $722 | 403% |
| Guardian | $722 | 403% |
| Health America | $722 | 403% |
| Health Choices | $722 | 403% |
| Healthcare Management Admin | $722 | 403% |
| Insight | $722 | 403% |
| Intercare | $722 | 403% |
| Jfp Benefit Management | $722 | 403% |
| Jp Farley Corporation | $722 | 403% |
| Key Benefit Administrator | $722 | 403% |
| Liberty Union Life Assurance Co | $722 | 403% |
| Lucent Health | $722 | 403% |
| Luminare Health | $722 | 403% |
| Magnacare | $722 | 403% |
| Medcost | $722 | 403% |
| Mutual Health Services | $722 | 403% |
| Mutual Of Omaha | $722 | 403% |
| Ncas | $722 | 403% |
| Nippon Life Ins | $722 | 403% |
| Nova | $722 | 403% |
| Painters Union Insurance Fund | $722 | 403% |
| Physicians Mutual | $722 | 403% |
| Plumbers Local 98 Insurance Fund | $722 | 403% |
| Prairie States | $722 | 403% |
| Preferred One | $722 | 403% |
| Primary Physician Care | $722 | 403% |
| Professional Benefit Administrators | $722 | 403% |
| Secureone Preferred United Plans | $722 | 403% |
| Siho Insurance Services | $722 | 403% |
| Sisco Benefits | $722 | 403% |
| The Loomis Company | $722 | 403% |
| Trustmark Small Business Benefits | $722 | 403% |
| U Of M Health Plan | $722 | 403% |
| Unicare | $722 | 403% |
| Unified Group Services | $722 | 403% |
| Us Health And Life | $722 | 403% |
| Valenz | $722 | 403% |
| Varipro | $722 | 403% |
| Wps | $722 | 403% |
| Humana | $790 - $1,546 | 441% |
| First Health | $815 | 455% |
| Medben | $928 - $1,160 | 518% |
| Consociate | $945 | 527% |
| Health Ohio Network | $945 | 527% |
| American Postal Workers Secondary | $1,126 | 628% |
| Cigna | $1,126 | 628% |
| Health Partners | $1,126 | 628% |
| Healthgram | $1,126 | 628% |
| Mvp | $1,126 | 628% |
| Priority Health | $1,126 | 628% |
| Caresource | $1,129 | 630% |
| Healthlink Inc | $1,160 | 647% |
| Medical Benefits Mutual | $1,160 | 647% |
| Ohio Health Choice | $1,160 | 647% |
| Ohio Ppo Connect | $1,160 | 647% |
| Medi Share | $1,235 | 689% |
| Multiplan | $1,235 | 689% |
| Phcs | $1,235 | 689% |
| Philadelphia American Life Insurance | $1,235 | 689% |
| Ameriben | $1,237 | 690% |
| Luminare Health (Detroit) | $1,237 | 690% |
| Ohiohealthy | $1,237 | 690% |
| Osu Not Independent Choice | $1,237 | 690% |
| Twin Valley Psychiatric | $1,237 | 690% |
| Health Smart | $1,314 | 733% |
| Rural Carrier Health Benefit Plan | $1,370 | 765% |
| Bccp | $1,546 | 863% |
| Medicaid / KanCare | $1,546 | 863% |
| Optima Health | $1,546 | 863% |