CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Mercy Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $318
  • Cash Discount Price: $738
  • vs. Medicare Baseline: 1.77x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Mercy Medical Center is $318. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $738. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.77x the Medicare baseline. Located in 1320 Mercy Drive Nw, Canton, OH.
Cash / Self-Pay
$738

Average discount available for prompt cash payment at this facility.

Insurance Median
$318

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: $738 (412%)
Insurance Median: $318 (177%)
Cash: $738 (412% of Medicare)
Ins. Median: $318 (177% 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.

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
Summacare $33 - $377 18%
Aetna $50 - $1,135 28%
Blue Cross Blue Shield $50 - $756 28%
Cigna $50 - $874 28%
Humana $50 - $164 28%
The Health Plan $50 - $1,281 28%
United $50 - $402 28%
Mmo $52 - $348 29%
Communicare $53 - $173 30%
Perennial Health $54 - $178 30%
Zing Health $55 - $181 31%
Aultcare $58 - $465 32%
Oscar $130 - $436 73%
Ohcp $189 - $552 105%
Omas $243 - $568 136%
Phphi $292 - $681 163%
Buckeye $328 183%
Caresource $328 183%
Molina $334 186%
Gms $340 - $794 190%
Amerihealth $350 195%
Immergrun $364 - $568 203%
Multiplan $437 - $1,022 244%
Cc Ehp $453 - $460 253%
Amish Community Aid Plan $511 - $568 285%
Ohio Healthy $613 342%
Php $681 380%
Medical Benefit Corp $794 443%
Consociate Health $851 475%
Frontpath $1,022 570%
Managed Care Services $1,022 570%
Tertiary Care Network $1,022 570%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1320 Mercy Drive Nw, Canton, OH 44708
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals