CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: University Hospitals Avon Rehabilitation Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $2,792
  • Cash Discount Price: $2,792
  • vs. Medicare Baseline: 15.58x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at University Hospitals Avon Rehabilitation Hospital is $2,792. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,792. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 15.58x the Medicare baseline. Located in 37900 Chester Rd, Avon, OH.
Cash / Self-Pay
$2,792

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,792

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: $2,792 (1558%)
Insurance Median: $2,792 (1558%)
Cash: $2,792 (1558% of Medicare)
Ins. Median: $2,792 (1558% 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 1558% of the Medicare baseline (a markup of 1458%). 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
Uh Employees (Administered By Meritian) $1,086 606%
Blue Cross Blue Shield $1,605 - $2,792 896%
Healthsmart (Formerly Emerald) $1,815 1013%
Ohio Health Choice - Preferred Choice Plus $1,815 1013%
Clarity Health (Enterprise Group Planning Will Be Listed On Id Card As Well) $2,066 1153%
Occunet Fka Health Ohio Network $2,066 1153%
Paramount $2,094 - $2,792 1169%
Ohio Preferred Network $2,233 1246%
First Health $2,373 1324%
Beechstreet $2,512 1402%
Fortified $2,512 1402%
Multiplan $2,512 1402%
Ohio Health Choice $2,512 1402%
Phcs $2,512 1402%
Aetna $2,792 1558%
Ambetter / Centene $2,792 1558%
Amerihealth Cartias $2,792 1558%
Antidote Healthe Care Of Ohio $2,792 1558%
Aultcare $2,792 1558%
Buckeye $2,792 1558%
Caresource $2,792 1558%
Caresource (Marketplace) $2,792 1558%
Cigna $2,792 1558%
Devoted $2,792 1558%
Health Plan $2,792 1558%
Humana $2,792 1558%
Jp Farley (Select Employers) $2,792 1558%
Medical Mutual $2,792 1558%
Medical Mutual (Supermed, Trad, Medflex) $2,792 1558%
Medical Mutual (Marketplace Plan) $2,792 1558%
Molina $2,792 1558%
Summacare $2,792 1558%
United $2,792 1558%
UnitedHealthcare $2,792 1558%
Wellcare $2,792 1558%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 37900 Chester Rd, Avon, OH 44011
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL