CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Lutheran Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $340
  • Cash Discount Price: $441
  • vs. Medicare Baseline: 3.18x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Lutheran Hospital is $340. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $441. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.18x the Medicare baseline. Located in 1730 West 25Th Street, Cleveland, OH.
Cash / Self-Pay
$441

Average discount available for prompt cash payment at this facility.

Insurance Median
$340

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: $441 (413%)
Insurance Median: $340 (318%)
Cash: $441 (413% of Medicare)
Ins. Median: $340 (318% 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 318% of the Medicare baseline (a markup of 218%). 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 $99 - $679 93%
Blue Cross Blue Shield $99 - $528 93%
Devoted Health $99 93%
Humana $99 - $577 93%
Mmo $99 - $1,170 93%
Summacare $99 - $274 93%
The Health Plan $99 - $407 93%
United $99 - $343 93%
UnitedHealthcare $99 - $421 93%
Upmc $99 - $407 93%
Valor $99 93%
Cigna $102 - $679 95%
Communicare $104 97%
Perennial Health $106 99%
Pphp $108 101%
Zing Health $108 101%
Oscar $205 - $261 192%
Cc Ehp $271 - $275 254%
Aultcare $292 273%
Amish Community Aid Plan $306 - $340 286%
Ohcp $330 309%
Paramount $330 309%
Buckeye $337 316%
Molina $337 316%
Omas $340 318%
United Bh $340 318%
Caresource $343 321%
Amerihealth $353 330%
Ohio Healthy $367 344%
Healthsmart $373 349%
Php $407 381%
Phphi $407 381%
Gms $475 445%
Medical Benefit Corp $475 445%
Quality Care Partners $475 445%
Consociate Health $509 477%
Frontpath $611 572%
Managed Care Services $611 572%
Multiplan $611 572%
Tertiary Care Network $611 572%
Three Rivers $611 572%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1730 West 25Th Street, Cleveland, OH 44113
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals