CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Ohio Valley Surgical Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $1,811
  • Cash Discount Price: $1,207
  • vs. Medicare Baseline: 10.11x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Ohio Valley Surgical Hospital is $1,811. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,207. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 10.11x the Medicare baseline. Located in 100 West Main Street, Springfield, OH.
Cash / Self-Pay
$1,207

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,811

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: $1,207 (674%)
Insurance Median: $1,811 (1011%)
Cash: $1,207 (674% of Medicare)
Ins. Median: $1,811 (1011% 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 1011% of the Medicare baseline (a markup of 911%). 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
Aarp $170 - $11,885 95%
Aarp Supplemental $170 - $11,885 95%
Aetna $170 - $20,896 95%
American Continental Insurance $170 - $11,885 95%
American Continental Life $170 - $11,885 95%
American Republic $170 - $11,885 95%
American Retirement $170 - $11,885 95%
Aultcare Primetime Health Plan $170 - $11,885 95%
Bankers Fidelity $170 - $11,885 95%
Bankers Life And Casualty $170 - $11,885 95%
Blue Cross Blue Shield $170 - $40,293 95%
Central States $170 - $11,885 95%
Champus $170 - $11,885 95%
Cigna $170 - $18,817 95%
Communicare Advantage $170 - $11,885 95%
Everest $170 - $11,885 95%
Gateway Health Plan $170 - $11,885 95%
Humana $170 - $11,919 95%
Medicare (plans) $170 - $12,264 95%
Medigold $170 - $11,885 95%
Mmoh $170 - $11,885 95%
Molina $170 - $11,885 95%
Molina Dual Mcr $170 - $11,885 95%
Molina Marketplace $170 - $11,885 95%
Molina Dual Mcr $170 - $11,885 95%
Molina Mcr $170 - $11,885 95%
Molina Mcr Mcd $170 - $11,885 95%
Molina Mcr+Mcd $170 - $11,885 95%
Patient No Pay $170 - $11,885 95%
Prosperity Supplement $170 - $11,885 95%
UnitedHealthcare $170 - $17,571 95%
Wellcare By Allwell $170 - $11,885 95%
Wraparound Pl Supp $170 - $11,885 95%
The Health Plan $178 - $12,479 99%
Geha $180 - $20,896 100%
Genworth $180 - $20,896 100%
Mail Handlers $180 - $20,896 100%
Meritain $180 - $20,896 100%
Meritain Heatlh $180 - $20,896 100%
Mhbp $180 - $20,896 100%
Ngs Coresource $180 - $20,896 100%
Nippon Life $180 - $20,896 100%
Pacific Source $180 - $20,896 100%
Personify Health $180 - $20,896 100%
Employer Direct $195 - $15,703 109%
Devoted Health $203 - $13,707 113%
Caresource $255 - $17,827 142%
Caresourse $255 - $17,827 142%
Medicaid / KanCare $255 - $17,827 142%
Healthgram $275 - $18,817 153%
Nalc $275 - $18,817 153%
Samba $275 - $18,817 153%
Sbma $275 - $18,817 153%
Unified Group $275 - $18,817 153%
Golden Rule $292 - $17,571 163%
Medica $292 - $17,571 163%
Oxford $292 - $17,571 163%
Shl $292 - $17,571 163%
Surest $292 - $17,571 163%
Ushealth $292 - $17,571 163%
Self Pay Imaging $350 - $11,885 195%
Mmo Cin. Hmo $926 - $1,268 517%
Mmoh (Supermed) $926 - $936 517%
Luminare Health $1,811 1011%
Medben $1,811 1011%
Ohio Health $1,811 1011%
Preferred Health $1,811 1011%
Amerihealth Caritas Of Ohio $3,657 2041%
Buckeye Community Health Plan $4,022 2244%
Molina Mcd $4,084 2279%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 West Main Street, Springfield, OH 45502
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals