CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Wooster Community Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,781
  • Cash Discount Price: $2,993
  • vs. Medicare Baseline: 9.94x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Wooster Community Hospital is $1,781. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,993. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.94x the Medicare baseline. Located in 1761 Beall Avenue, Wooster, OH.
Cash / Self-Pay
$2,993

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,781

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: $2,993 (1670%)
Insurance Median: $1,781 (994%)
Cash: $2,993 (1670% of Medicare)
Ins. Median: $1,781 (994% 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 994% of the Medicare baseline (a markup of 894%). 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 $166 93%
Blue Cross Blue Shield $170 - $2,753 95%
Buckeye Mcare $170 95%
Caresource Mcr Adv $170 95%
Humana $170 - $2,813 95%
Med Mutual Of Oh Mcr $170 95%
Molina Mcr $170 95%
Summacare Mcr $170 95%
The Health Plan Mcr Adv $170 95%
UnitedHealthcare $170 - $2,843 95%
Valor Hp Mcr-All Plans $170 95%
Magnipower-All Plans $220 123%
Caresource Exch - All Other Plans $242 135%
Molina Marketplace - All Other Plans $288 161%
Clarity Health - All Plans $331 185%
Buckeye Mcaid-All Other Plans $345 193%
Caresource Mcaid $345 193%
Molina Mcaid $352 196%
Aetna $362 - $2,993 202%
Amerihealth Mcaid-All Plans $362 202%
Med Mutual Of Oh Exchange $695 388%
Med Mutual Of Oh Supermed $695 388%
Med Mutual Of Oh Trad-All Other Plans $695 388%
Healthsmart Complete Ppo-All Other Plans $750 419%
Cigna $920 513%
Aultcare/Primecare Mcr Adv $1,466 818%
Cerco-All Plans $2,095 1169%
Aultcare Wayne County $2,245 1253%
Aultcare/Primetime Exch $2,245 1253%
Rayco-All Plans $2,245 1253%
Christian Health Ministries-All Plans $2,394 1336%
Health Ohio Network Employer $2,394 1336%
Wayne County-All Plans $2,394 1336%
Healthsmart Accel $2,484 1386%
Summacare Preferred Choice $2,484 1386%
Health Ohio Network Ppo-All Other Plans $2,544 1420%
Ohio Health Choice Supp $2,544 1420%
Ohio Health Group Hlthy - All Other Plans $2,544 1420%
Health Plan Of Upper Ohio-All Plans $2,637 1472%
The Health Plan Comm - All Other Plans $2,637 1472%
Ohio Health Group Pref $2,664 1487%
Aultcare/Primetime-All Other Plans $2,693 1503%
Healthsmart Ppo $2,723 1520%
Summacare-All Other Plans $2,783 1553%
Ohio Health Choice-All Other Plans $2,813 1570%
Healthsmart Hpo $2,843 1586%
Osu-All Plans $2,843 1586%
Central Benefits-All Plans $2,873 1603%
First Health-All Plans $2,873 1603%
Flora-All Plans $2,873 1603%
Beech Street-All Plans $2,903 1620%
Phcs-All Plans $2,903 1620%

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