CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Uh St John Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,044
  • Cash Discount Price: $1,566
  • vs. Medicare Baseline: 5.83x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Uh St John Medical Center is $1,044. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,566. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.83x the Medicare baseline. Located in 29000 Center Ridge Road, Westlake, OH.
Cash / Self-Pay
$1,566

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,044

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: $1,566 (874%)
Insurance Median: $1,044 (583%)
Cash: $1,566 (874% of Medicare)
Ins. Median: $1,044 (583% 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 583% of the Medicare baseline (a markup of 483%). 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 $165 - $1,843 92%
Blue Cross Blue Shield $165 - $1,178 92%
Cigna $165 - $1,169 92%
Devoted Health $165 92%
Humana $165 92%
Molina $165 92%
Primetime Health Plan $165 92%
Summacare $165 - $1,200 92%
The Health Plan $165 - $1,378 92%
UnitedHealthcare $165 - $1,563 92%
Wellcare By Allwell $165 92%
Paramount $170 95%
Perennial Advantage Of Ohio $173 97%
Valor Health Plans $173 97%
Ambetter / Centene $297 166%
Caresource $297 166%
University Health Employee Plan (Contigo) $520 290%
Medical Mutual Of Ohio $568 - $883 317%
Amish Aid Community Plan $600 335%
Amish Church Fund And Workers Aid Plan $600 335%
Buckeye Plain Ministries $600 335%
Christian Healthcare Ministries $900 - $1,044 502%
Aultcare $975 544%
Clarity $1,002 559%
Immergrun $1,044 583%
Sunrise Plan Communities $1,044 583%
Healthsmart $1,357 757%
Ohio Health Choice $1,357 - $1,879 757%
Medical Mutual Traditional/Health Ohio $1,462 816%
Jp Farley $1,595 890%
Beech Street $1,670 - $1,879 932%
Ohio Preferred Network $1,670 - $1,879 932%
First Health $1,733 967%
Century Health Network $1,775 991%
Private Healthcare System $1,796 1002%
Configurenet $1,879 1049%
Fortified Provider Network $1,879 1049%
Multiplan $1,879 1049%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 29000 Center Ridge Road, Westlake, OH 44145
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals