CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Southwest General Health Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $365
Cash Discount Price: $1,571
vs. Medicare Baseline: 2.04x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Southwest General Health Center is $365. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,571. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.04x the Medicare baseline. Located in 18697 Bagley Road, Middleburg Heights, OH.

Cash / Self-Pay

$1,571

Average discount available for prompt cash payment at this facility.

Insurance Median

$365

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: $1,571 (877%)

Insurance Median: $365 (204%)

Cash: $1,571 (877% of Medicare)

Ins. Median: $365 (204% 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 204% of the Medicare baseline (a markup of 104%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Medical Mutual	$71 - $77	40%
Medical Mutual-Ohio	$71 - $229	40%
Buckeye	$163 - $365	91%
Caresource	$163 - $365	91%
Humana	$163 - $817	91%
Molina	$163 - $365	91%
UnitedHealthcare	$163 - $1,131	91%
Amerihealth Caritas	$169 - $365	94%
Blue Cross Blue Shield	$229 - $365	128%
Valor Health	$229	128%
Healthsmart	$670	374%
Health Design Plus	$775	432%
Clarity Health	$838	468%
Healthspan	$838	468%
Healthsmart Preferred	$943	526%
Ohio Health Choice Plus	$1,014	566%
Summacare	$1,131	631%
Aetna	$1,133	632%
Cigna	$1,146	640%
Coventry	$1,446	807%
First Health	$1,446	807%
Ohio Health Choice	$1,619	903%
Private Healthare Systems	$1,676	935%

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 $1,571.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Southwest General Health Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.