CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $435
Cash Discount Price: $2,272
vs. Medicare Baseline: 2.43x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Memorial Hospital is $435. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,272. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.43x the Medicare baseline. Located in 715 South Taft Avenue, Fremont, OH.

Cash / Self-Pay

$2,272

Average discount available for prompt cash payment at this facility.

Insurance Median

$435

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: $2,272 (1268%)

Insurance Median: $435 (243%)

Cash: $2,272 (1268% of Medicare)

Ins. Median: $435 (243% 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 243% of the Medicare baseline (a markup of 143%). 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	$96 - $1,123	54%
Aetna	$130 - $2,195	73%
Summacare	$130 - $1,923	73%
Paramount Healthcare Inc	$133 - $1,958	74%
Blue Cross Blue Shield	$135 - $871	75%
Buckeye Community Health Plan	$137 - $829	76%
Frontpath	$137 - $2,136	76%
Health Alliance Plan	$137 - $2,272	76%
Humana	$137 - $1,123	76%
Molina Healthcare Of Ohio	$137 - $1,727	76%
Caresource	$139 - $622	78%
UnitedHealthcare	$150 - $754	84%
Cigna	$156 - $2,437	87%
Health Ohio Network	$189 - $2,412	105%
Amerihealth	$227 - $586	127%
Medical Mutual Of Ohio	$443 - $2,335	247%
Multiplan	$443 - $3,146	247%

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 $2,272.
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 Memorial Hospital 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.