CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Lodi Community Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $613
Cash Discount Price: $738
vs. Medicare Baseline: 3.42x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Lodi Community Hospital is $613. 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 3.42x the Medicare baseline. Located in 225 Elyria Street, Lodi, OH.

Cash / Self-Pay

$738

Average discount available for prompt cash payment at this facility.

Insurance Median

$613

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: $613 (342%)

Cash: $738 (412% of Medicare)

Ins. Median: $613 (342% 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 342% of the Medicare baseline (a markup of 242%). 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
Blue Cross Blue Shield	$178 - $929	99%
UnitedHealthcare	$178 - $704	99%
Humana	$340	190%
Mmo	$340 - $1,170	190%
Summacare	$340 - $696	190%
United	$340 - $810	190%
Oscar	$342 - $436	191%
Aetna	$386 - $1,135	215%
The Health Plan	$454 - $908	253%
Buckeye	$484	270%
Caresource	$484	270%
Molina	$508	283%
Amish Community Aid Plan	$511 - $568	285%
Amerihealth	$532	297%
Ohcp	$552	308%
Aultcare	$568	317%
Omas	$568	317%
Ohio Healthy	$613	342%
Php	$681	380%
Phphi	$681	380%
Upmc	$681	380%
Cigna	$732	408%
Cc Ehp	$763	426%
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 Lodi Community 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.