CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Wooster Community Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $847
  • Cash Discount Price: $1,169
  • vs. Medicare Baseline: 7.93x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Wooster Community Hospital is $847. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,169. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.93x the Medicare baseline. Located in 1761 Beall Avenue, Wooster, OH.
Cash / Self-Pay
$1,169

Average discount available for prompt cash payment at this facility.

Insurance Median
$847

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: $1,169 (1094%)
Insurance Median: $847 (793%)
Cash: $1,169 (1094% of Medicare)
Ins. Median: $847 (793% 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 793% of the Medicare baseline (a markup of 693%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Tricare $99 93%
Blue Cross Blue Shield $101 - $1,075 95%
Buckeye Mcare $101 95%
Caresource Mcr Adv $101 95%
Humana $101 - $1,099 95%
Med Mutual Of Oh Mcr $101 95%
Molina Mcr $101 95%
Summacare Mcr $101 95%
The Health Plan Mcr Adv $101 95%
UnitedHealthcare $101 - $1,110 95%
Valor Hp Mcr-All Plans $101 95%
Magnipower-All Plans $131 123%
Caresource Exch - All Other Plans $144 135%
Molina Marketplace - All Other Plans $172 161%
Clarity Health - All Plans $197 184%
Buckeye Mcaid-All Other Plans $345 323%
Caresource Mcaid $345 323%
Molina Mcaid $352 330%
Aetna $362 - $1,169 339%
Amerihealth Mcaid-All Plans $362 339%
Aultcare/Primecare Mcr Adv $573 536%
Med Mutual Of Oh Exchange $695 651%
Med Mutual Of Oh Supermed $695 651%
Med Mutual Of Oh Trad-All Other Plans $695 651%
Healthsmart Complete Ppo-All Other Plans $750 702%
Cerco-All Plans $818 766%
Aultcare Wayne County $877 821%
Aultcare/Primetime Exch $877 821%
Rayco-All Plans $877 821%
Cigna $920 861%
Christian Health Ministries-All Plans $935 875%
Health Ohio Network Employer $935 875%
Wayne County-All Plans $935 875%
Healthsmart Accel $970 908%
Summacare Preferred Choice $970 908%
Health Ohio Network Ppo-All Other Plans $994 931%
Ohio Health Choice Supp $994 931%
Ohio Health Group Hlthy - All Other Plans $994 931%
Health Plan Of Upper Ohio-All Plans $1,030 964%
The Health Plan Comm - All Other Plans $1,030 964%
Ohio Health Group Pref $1,040 974%
Aultcare/Primetime-All Other Plans $1,052 985%
Healthsmart Ppo $1,064 996%
Summacare-All Other Plans $1,087 1018%
Ohio Health Choice-All Other Plans $1,099 1029%
Healthsmart Hpo $1,110 1039%
Osu-All Plans $1,110 1039%
Central Benefits-All Plans $1,122 1050%
First Health-All Plans $1,122 1050%
Flora-All Plans $1,122 1050%
Beech Street-All Plans $1,134 1062%
Phcs-All Plans $1,134 1062%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1761 Beall Avenue, Wooster, OH 44691
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals