CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Ohiohealth Morrow County Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $765
  • Cash Discount Price: $1,317
  • vs. Medicare Baseline: 7.16x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Ohiohealth Morrow County Hospital is $765. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,317. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.16x the Medicare baseline. Located in 651 West Marion Road, Mount Gilead, OH.
Cash / Self-Pay
$1,317

Average discount available for prompt cash payment at this facility.

Insurance Median
$765

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,317 (1233%)
Insurance Median: $765 (716%)
Cash: $1,317 (1233% of Medicare)
Ins. Median: $765 (716% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 716% of the Medicare baseline (a markup of 616%). 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
Medicaid / KanCare $484 - $493 453%
UnitedHealthcare $484 - $1,659 453%
Blue Cross Blue Shield $489 - $1,564 458%
Amerihealth Caritas - All Plans $498 466%
Humana $498 - $1,884 466%
Medicare (plans) $750 - $764 702%
Aetna $764 - $1,742 715%
Molina Exchange - All Other Plans $798 747%
Caresource Marketplace - All Other Plans $937 877%
Medical Mutual Of Ohio Marketplace $1,519 1422%
Ohiohealthy Network - All Other Plans $1,519 1422%
Ohiohealthy Preferred $1,519 1422%
Medical Mutual Of Ohio Comm - All Other Plans $1,641 1536%
Medical Mutual Of Ohio - Admin Serv $1,722 1612%
Phcs - All Plans $1,864 1745%
Cigna $1,904 1783%
Multiplan - All Plans $1,924 1801%
Healthstar Comm - All Plans $1,945 1821%
Beech Street - All Plans $1,965 1840%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 West Marion Road, Mount Gilead, OH 43338
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals