CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Mercy Medical Center

Billing Code: 70470 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$183

about 1.0× the $179 Medicare rate · typically $173–$197

modeled estimate · not a bill or quote

Medicare pays $179 Fair price $183 Cash price $738 Hospital's list price $1,135

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$57 - $426	32%
Blue Cross Blue Shieldmajor	$57 - $756	32%
Aetnamajor	$57 - $1,682	32%
Cignamajor	$57 - $874	32%
Humanamajor	$57 - $164	32%
AmeriHealth	$179 - $350	100%
CareSource	$167 - $328	93%
Molina	$179 - $334	100%
Oscar Health	$146 - $449	81%
UniCare	$59 - $173	33%
+ 18 smaller / regional plans	$37 - $1,281

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 738), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70470.

Insurance Before you use insurance

Call your insurance company to confirm Mercy Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 70470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercy Medical Center

Compare: CT scan, head (with and without contrast) at other OH hospitals

Insurance negotiated median for the same procedure, sorted lowest first.