CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Cleveland Clinic

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $323
  • Cash Discount Price: $738
  • vs. Medicare Baseline: 1.80x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Cleveland Clinic is $323. 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 1.80x 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
$323

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: $323 (180%)
Cash: $738 (412% of Medicare)
Ins. Median: $323 (180% 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.

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 $33 - $541 18%
Aetna $50 - $1,621 28%
Blue Cross Blue Shield $50 - $964 28%
Devoted Health $50 - $165 28%
Humana $50 - $965 28%
The Health Plan $50 - $892 28%
United $50 - $440 28%
UnitedHealthcare $50 - $1,037 28%
Upmc $50 - $973 28%
Valor $50 - $165 28%
Cigna $52 - $1,297 29%
Communicare $53 - $173 30%
Perennial Health $54 - $178 30%
Pphp $54 - $182 30%
Zing Health $55 - $182 31%
Cc Ehp $96 - $708 54%
Oscar $130 - $436 73%
Paramount $142 - $423 79%
Buckeye $145 - $432 81%
Caresource $145 - $411 81%
Amerihealth $152 85%
Molina $152 - $432 85%
Mmo $165 - $1,170 92%
Ohcp $189 - $631 105%
Ohio Healthy $194 - $794 108%
Aultcare $209 - $697 117%
Amish Community Aid Plan $219 - $729 122%
Omas $243 - $810 136%
Healthsmart $267 - $892 149%
Phphi $292 - $973 163%
Clarity Health $316 - $1,054 176%
Gms $340 - $1,135 190%
Quality Care Partners $340 - $1,135 190%
Consociate Health $364 - $1,216 203%
Multiplan $437 - $1,459 244%
Three Rivers $437 - $1,459 244%
Usa Managed Care $437 - $1,459 244%
United Bh $452 252%
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