CMS Price Transparency Data
CT scan, head (with and without contrast)
Facility: Diley Ridge Medical Center
Billing Code: 70470 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70470
- Insurance Median: $758
- Cash Discount Price: $1,056
- vs. Medicare Baseline: 4.23x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Diley Ridge Medical Center is $758. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,056. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.23x the Medicare baseline. Located in 7911 Diley Road, Canal Winchester, OH.
Cash / Self-Pay
$1,056
Average discount available for prompt cash payment at this facility.
Insurance Median
$758
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: $1,056 (589%)
Insurance Median: $758 (423%)
Cash: $1,056 (589% of Medicare)
Ins. Median: $758 (423% 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 423% of the Medicare baseline (a markup of 323%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicare (plans) | $149 - $178 | 83% |
| Aetna | $166 - $1,624 | 93% |
| Blue Cross Blue Shield | $166 - $1,624 | 93% |
| Hospice Mount Carmel | $169 | 94% |
| Oscar | $169 | 94% |
| UnitedHealthcare | $169 - $1,186 | 94% |
| The Health Plan | $173 - $1,067 | 97% |
| Enterprise Group Planning | $326 | 182% |
| Custom Design Benefits | $353 | 197% |
| Quality Care Partners | $382 | 213% |
| Blue Benefit Administrators Of Massachusetts | $631 | 352% |
| Blue Care Network | $631 | 352% |
| Blue Distinction Transplant | $631 | 352% |
| Blue Shield - Ca | $631 | 352% |
| Blue Shield - Id (Regence) | $631 | 352% |
| Blue Shield - Ny Highmark Northeastern | $631 | 352% |
| Blue Shield - Ny Highmark Western | $631 | 352% |
| Blue Shield - Pa (Highmark) | $631 | 352% |
| Blue Shield - Wa (Regence) | $631 | 352% |
| Crime Victim Assistance | $632 | 353% |
| Ohio Safe Program | $632 | 353% |
| Geha | $729 - $1,186 | 407% |
| Gravie Admin Services | $729 | 407% |
| Healthez | $729 | 407% |
| Meritain | $729 | 407% |
| Webtpa | $729 | 407% |
| Access Health | $758 | 423% |
| Acclaim | $758 | 423% |
| Administrative Concepts | $758 | 423% |
| Allegeant | $758 | 423% |
| Allied Benefit Systems | $758 | 423% |
| American Family | $758 | 423% |
| American Healthcare Alliance | $758 | 423% |
| American National | $758 | 423% |
| American Republic | $758 | 423% |
| Amerihealth | $758 | 423% |
| Aultcare | $758 | 423% |
| Automated Benefit Services | $758 | 423% |
| Auxiant | $758 | 423% |
| Benefit Administrative Systems,Llc | $758 | 423% |
| Boon Chapman | $758 | 423% |
| Cam Administrative Services | $758 | 423% |
| Christian Brother Services | $758 | 423% |
| Christian Brothers Holy Cross | $758 | 423% |
| Claimchoice Adminstrators | $758 | 423% |
| Comprehensive Benefits | $758 | 423% |
| Continental Life Insurance | $758 | 423% |
| Coventry | $758 | 423% |
| Custom Benefit Administrators | $758 | 423% |
| Cypress Benefit Administrators | $758 | 423% |
| Employee Benefit Concepts | $758 | 423% |
| Employee Benefit Management | $758 | 423% |
| Forest County Potawatomi | $758 | 423% |
| Freedom Life Insurance Company | $758 | 423% |
| Group Administrators | $758 | 423% |
| Group Marketing Services | $758 | 423% |
| Group Pension Administrators | $758 | 423% |
| Guardian | $758 | 423% |
| Health America | $758 | 423% |
| Health Choices | $758 | 423% |
| Healthcare Management Admin | $758 | 423% |
| Insight | $758 | 423% |
| Intercare | $758 | 423% |
| Jfp Benefit Management | $758 | 423% |
| Jp Farley Corporation | $758 | 423% |
| Key Benefit Administrator | $758 | 423% |
| Liberty Union Life Assurance Co | $758 | 423% |
| Lucent Health | $758 | 423% |
| Luminare Health | $758 | 423% |
| Magnacare | $758 | 423% |
| Medcost | $758 | 423% |
| Mutual Health Services | $758 | 423% |
| Mutual Of Omaha | $758 | 423% |
| Ncas | $758 | 423% |
| Nippon Life Ins | $758 | 423% |
| Nova | $758 | 423% |
| Painters Union Insurance Fund | $758 | 423% |
| Physicians Mutual | $758 | 423% |
| Plumbers Local 98 Insurance Fund | $758 | 423% |
| Prairie States | $758 | 423% |
| Preferred One | $758 | 423% |
| Primary Physician Care | $758 | 423% |
| Professional Benefit Administrators | $758 | 423% |
| Secureone Preferred United Plans | $758 | 423% |
| Siho Insurance Services | $758 | 423% |
| Sisco Benefits | $758 | 423% |
| The Loomis Company | $758 | 423% |
| Trustmark Small Business Benefits | $758 | 423% |
| U Of M Health Plan | $758 | 423% |
| Unicare | $758 | 423% |
| Unified Group Services | $758 | 423% |
| Us Health And Life | $758 | 423% |
| Valenz | $758 | 423% |
| Varipro | $758 | 423% |
| Wps | $758 | 423% |
| Medben | $812 - $1,218 | 453% |
| Humana | $830 - $1,624 | 463% |
| First Health | $856 | 478% |
| Consociate | $992 | 554% |
| Health Ohio Network | $992 | 554% |
| American Postal Workers Secondary | $1,126 | 628% |
| Cigna | $1,126 | 628% |
| Health Partners | $1,126 | 628% |
| Healthgram | $1,126 | 628% |
| Mvp | $1,126 | 628% |
| Priority Health | $1,126 | 628% |
| Caresource | $1,186 | 662% |
| Healthlink Inc | $1,218 | 680% |
| Medical Benefits Mutual | $1,218 | 680% |
| Ohio Health Choice | $1,218 | 680% |
| Ohio Ppo Connect | $1,218 | 680% |
| Medical Mutual | $1,236 | 690% |
| Medi Share | $1,298 | 724% |
| Multiplan | $1,298 | 724% |
| Phcs | $1,298 | 724% |
| Philadelphia American Life Insurance | $1,298 | 724% |
| Ameriben | $1,299 | 725% |
| Luminare Health (Detroit) | $1,299 | 725% |
| Ohiohealthy | $1,299 | 725% |
| Osu Not Independent Choice | $1,299 | 725% |
| Twin Valley Psychiatric | $1,299 | 725% |
| Rural Carrier Health Benefit Plan | $1,370 | 765% |
| Health Smart | $1,380 | 770% |
| Bccp | $1,624 | 906% |
| Medicaid / KanCare | $1,624 | 906% |
| Optima Health | $1,624 | 906% |