CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Cleveland Clinic Avon Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $455
Cash Discount Price: $738
vs. Medicare Baseline: 2.54x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Cleveland Clinic Avon Hospital is $455. 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 2.54x the Medicare baseline. Located in 33300 Cleveland Clinic Blvd, Avon, OH.

Cash / Self-Pay

$738

Average discount available for prompt cash payment at this facility.

Insurance Median

$455

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: $455 (254%)

Cash: $738 (412% of Medicare)

Ins. Median: $455 (254% 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 254% of the Medicare baseline (a markup of 154%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$165 - $1,135	92%
Blue Cross Blue Shield	$165 - $866	92%
Devoted Health	$165	92%
Humana	$165	92%
Mmo	$165 - $1,170	92%
Summacare	$165 - $456	92%
The Health Plan	$165 - $681	92%
United	$165 - $402	92%
UnitedHealthcare	$165 - $704	92%
Upmc	$165 - $681	92%
Valor	$165	92%
Cigna	$170 - $874	95%
Communicare	$173	97%
Perennial Health	$178	99%
Pphp	$182	102%
Zing Health	$182	102%
Buckeye	$332	185%
Molina	$332	185%
Caresource	$339	189%
Oscar	$342 - $436	191%
Cc Ehp	$453 - $460	253%
Aultcare	$488	272%
Amish Community Aid Plan	$511 - $568	285%
Ohcp	$552	308%
Omas	$568	317%
Ohio Healthy	$613	342%
Php	$681	380%
Gms	$794	443%
Medical Benefit Corp	$794	443%
Consociate Health	$851	475%
Frontpath	$1,022	570%
Managed Care Services	$1,022	570%
Multiplan	$1,022	570%
Tertiary Care Network	$1,022	570%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $738.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cleveland Clinic Avon Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.