CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Ohio State University State Health System

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $865
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 4.83x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Ohio State University State Health System is $865. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.83x the Medicare baseline. Located in 410 West 10Th Avenue, Columbus, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$865

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%)
Insurance Median: $865 (483%)
Ins. Median: $865 (483% 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 483% of the Medicare baseline (a markup of 383%). 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
Aetna $170 - $1,719 95%
Blue Cross Blue Shield $170 - $2,080 95%
Medicare (plans) $170 - $184 95%
Medigold $170 95%
Mmo $170 - $1,166 95%
Molina $170 - $285 95%
Upper Ohio Valley $170 - $1,411 95%
Humana $174 - $714 97%
Buckeye Community $176 - $264 98%
Caresource $179 - $264 100%
Healthspan $179 - $1,026 100%
Cigna $475 265%
United $475 265%
Osu Health Plan $676 - $1,069 377%
Ohio Ppo $774 - $958 432%
Odrc $869 485%
Ohiohealth $1,390 - $1,604 776%
Lifetrac $1,454 811%
Frontpath $1,710 954%
Multiplan $1,710 954%
Healthsmart $1,924 1074%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 410 West 10Th Avenue, Columbus, OH 43210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals