CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Memorial Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $360
Cash Discount Price: $1,251
vs. Medicare Baseline: 3.37x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Memorial Hospital is $360. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,251. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.37x the Medicare baseline. Located in 715 South Taft Avenue, Fremont, OH.

Cash / Self-Pay

$1,251

Average discount available for prompt cash payment at this facility.

Insurance Median

$360

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: $1,251 (1171%)

Insurance Median: $360 (337%)

Cash: $1,251 (1171% of Medicare)

Ins. Median: $360 (337% 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 337% of the Medicare baseline (a markup of 237%). 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
Meridian Health Plan Of Mi	$57 - $571	53%
Aetna	$94 - $1,208	88%
Summacare	$94 - $1,058	88%
Paramount Healthcare Inc	$96 - $1,077	90%
Blue Cross Blue Shield	$97 - $520	91%
Humana	$97 - $571	91%
Molina Healthcare Of Ohio	$97 - $879	91%
Buckeye Community Health Plan	$98 - $423	92%
Frontpath	$98 - $1,176	92%
Health Alliance Plan	$98 - $1,251	92%
Caresource	$100 - $447	94%
UnitedHealthcare	$108 - $754	101%
Cigna	$112 - $1,341	105%
Health Ohio Network	$136 - $1,328	127%
Amerihealth	$163 - $465	153%
Medical Mutual Of Ohio	$319 - $1,285	299%
Multiplan	$319 - $1,732	299%

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 $1,251.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.