CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Cleveland Clinic

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $232
  • Cash Discount Price: $441
  • vs. Medicare Baseline: 2.17x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Cleveland Clinic is $232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $441. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.17x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$441

Average discount available for prompt cash payment at this facility.

Insurance Median
$232

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: $441 (413%)
Insurance Median: $232 (217%)
Cash: $441 (413% of Medicare)
Ins. Median: $232 (217% 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 217% of the Medicare baseline (a markup of 117%). 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
Summacare $25 - $324 23%
Aetna $38 - $1,045 36%
Blue Cross Blue Shield $38 - $577 36%
Devoted Health $38 - $99 36%
Humana $38 - $577 36%
The Health Plan $38 - $575 36%
United $38 - $440 36%
UnitedHealthcare $38 - $669 36%
Upmc $38 - $627 36%
Valor $38 - $99 36%
Cigna $39 - $836 37%
Communicare $40 - $104 37%
Perennial Health $41 - $106 38%
Pphp $41 - $108 38%
Zing Health $42 - $108 39%
Cc Ehp $72 - $424 67%
Oscar $98 - $279 92%
Mmo $99 - $1,170 93%
Paramount $104 - $423 97%
Buckeye $106 - $432 99%
Caresource $106 - $411 99%
Amerihealth $111 104%
Molina $111 - $432 104%
Ohcp $142 - $407 133%
Ohio Healthy $146 - $475 137%
Aultcare $157 - $449 147%
Amish Community Aid Plan $165 - $470 154%
Omas $183 - $522 171%
Healthsmart $201 - $575 188%
Phphi $220 - $627 206%
Clarity Health $238 - $679 223%
Gms $256 - $732 240%
Quality Care Partners $256 - $732 240%
Consociate Health $274 - $784 257%
Multiplan $329 - $940 308%
Three Rivers $329 - $940 308%
Usa Managed Care $329 - $940 308%
Php $407 381%
United Bh $452 423%
Medical Benefit Corp $475 445%
Parkview Health Plan $475 445%
Community Health Alliance $543 508%
Frontpath $611 572%
Managed Care Services $611 572%
Tertiary Care Network $611 572%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9500 Euclid Avenue, Cleveland, OH 44195
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals