CMS Price Transparency Data

CT scan, head (with contrast)

Facility: University Hospitals Avon Rehabilitation Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $3,737
  • Cash Discount Price: $3,737
  • vs. Medicare Baseline: 20.85x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at University Hospitals Avon Rehabilitation Hospital is $3,737. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,737. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 20.85x the Medicare baseline. Located in 37900 Chester Rd, Avon, OH.
Cash / Self-Pay
$3,737

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,737

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: $3,737 (2085%)
Insurance Median: $3,737 (2085%)
Cash: $3,737 (2085% of Medicare)
Ins. Median: $3,737 (2085% 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 2085% of the Medicare baseline (a markup of 1985%). 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) $1,454 811%
Blue Cross Blue Shield $2,149 - $3,737 1199%
Healthsmart (Formerly Emerald) $2,429 1355%
Ohio Health Choice - Preferred Choice Plus $2,429 1355%
Clarity Health (Enterprise Group Planning Will Be Listed On Id Card As Well) $2,766 1544%
Occunet Fka Health Ohio Network $2,766 1544%
Paramount $2,803 - $3,737 1564%
Ohio Preferred Network $2,990 1669%
First Health $3,177 1773%
Beechstreet $3,364 1877%
Fortified $3,364 1877%
Multiplan $3,364 1877%
Ohio Health Choice $3,364 1877%
Phcs $3,364 1877%
Aetna $3,737 2085%
Ambetter / Centene $3,737 2085%
Amerihealth Cartias $3,737 2085%
Antidote Healthe Care Of Ohio $3,737 2085%
Aultcare $3,737 2085%
Buckeye $3,737 2085%
Caresource $3,737 2085%
Caresource (Marketplace) $3,737 2085%
Cigna $3,737 2085%
Devoted $3,737 2085%
Health Plan $3,737 2085%
Humana $3,737 2085%
Jp Farley (Select Employers) $3,737 2085%
Medical Mutual $3,737 2085%
Medical Mutual (Supermed, Trad, Medflex) $3,737 2085%
Medical Mutual (Marketplace Plan) $3,737 2085%
Molina $3,737 2085%
Summacare $3,737 2085%
United $3,737 2085%
UnitedHealthcare $3,737 2085%
Wellcare $3,737 2085%

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