CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Cleveland Clinic

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $368
  • Cash Discount Price: $738
  • vs. Medicare Baseline: 2.05x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Cleveland Clinic is $368. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $738. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.05x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$738

Average discount available for prompt cash payment at this facility.

Insurance Median
$368

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: $738 (412%)
Insurance Median: $368 (205%)
Cash: $738 (412% of Medicare)
Ins. Median: $368 (205% 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 205% of the Medicare baseline (a markup of 105%). 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 $37 - $541 21%
Aetna $57 - $1,682 32%
Blue Cross Blue Shield $57 - $964 32%
Devoted Health $57 - $165 32%
Humana $57 - $965 32%
The Health Plan $57 - $925 32%
United $57 - $440 32%
UnitedHealthcare $57 - $1,076 32%
Upmc $57 - $1,009 32%
Valor $57 - $165 32%
Cigna $58 - $1,346 32%
Communicare $59 - $173 33%
Perennial Health $61 - $178 34%
Pphp $61 - $182 34%
Zing Health $62 - $182 35%
Cc Ehp $108 - $708 60%
Oscar $146 - $449 81%
Mmo $165 - $1,177 92%
Paramount $167 - $423 93%
Buckeye $171 - $432 95%
Caresource $171 - $411 95%
Amerihealth $179 100%
Molina $179 - $432 100%
Ohcp $213 - $654 119%
Ohio Healthy $219 - $794 122%
Aultcare $235 - $723 131%
Amish Community Aid Plan $246 - $757 137%
Omas $274 - $841 153%
Healthsmart $301 - $925 168%
Phphi $328 - $1,009 183%
Clarity Health $356 - $1,093 199%
Gms $383 - $1,177 214%
Quality Care Partners $383 - $1,177 214%
Consociate Health $410 - $1,262 229%
United Bh $452 252%
Multiplan $492 - $1,514 275%
Three Rivers $492 - $1,514 275%
Usa Managed Care $492 - $1,514 275%
Php $681 380%
Medical Benefit Corp $794 443%
Parkview Health Plan $794 443%
Community Health Alliance $908 507%
Frontpath $1,022 570%
Managed Care Services $1,022 570%
Tertiary Care Network $1,022 570%

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