CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Coshocton Regional Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $243
Cash Discount Price: $165
vs. Medicare Baseline: 1.36x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Coshocton Regional Medical Center is $243. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $165. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.36x the Medicare baseline. Located in 1460 Orange Street, Coshocton, OH.

Cash / Self-Pay

$165

Average discount available for prompt cash payment at this facility.

Insurance Median

$243

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: $165 (92%)

Insurance Median: $243 (136%)

Cash: $165 (92% of Medicare)

Ins. Median: $243 (136% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$165 - $534	92%
Care Source	$165 - $518	92%
Medicare (plans)	$165	92%
Molina	$165 - $529	92%
The Health Plan	$165	92%
Tricare	$165	92%
UnitedHealthcare	$165 - $544	92%
Med Mutual Of Oh	$168	94%
Buckeye Community Health Plan	$173 - $518	97%
Devoted Health	$173	97%
Valor Health Plan	$177	99%
Perennial Advantage	$182	102%
Employer Direct Healthcare	$231	129%
Americas Choice Provider Network	$247	138%
Corvel	$247	138%
Healthsmart	$247	138%
Multiplan	$247	138%
Provider Network Of America	$247	138%
Provider Select	$247	138%
Three Rivers	$247	138%
Workers Compensation	$247	138%
Medicaid / KanCare	$518	289%
Standard Eapg Logic	$518	289%
Amerihealth Caritas	$544	304%
Paramount	$544	304%
Quality Care Partner	$544	304%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $165.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Coshocton Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.