CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $258
  • Cash Discount Price: $873
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Cincinnati Children's Hospital Medical Center is $258. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $873. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.44x the Medicare baseline. Located in 3333 Burnet Avenue, Cincinnati, OH.
Cash / Self-Pay
$873

Average discount available for prompt cash payment at this facility.

Insurance Median
$258

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: $873 (487%)
Insurance Median: $258 (144%)
Cash: $873 (487% of Medicare)
Ins. Median: $258 (144% 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.

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
Blue Cross Blue Shield $40 - $3,061 22%
Aetna $41 - $2,958 23%
Mhs_In $41 - $126 23%
Caresource_In $42 - $132 23%
Passport_Ky $42 - $810 23%
Humana $43 - $778 24%
United_Health_Care_Ky $43 - $822 24%
Wellcare_Ky $43 - $819 24%
Caresource_Oh $87 - $588 49%
Amerihealth_Caritas_Oh $90 - $635 50%
Molina_Oh $91 - $646 51%
Buckeye_Oh $95 - $676 53%
United_Health_Care_Oh $104 - $620 58%
Caresource_Oh_Insurance $148 - $1,495 83%
Medical_Mutual_Of_Ohio_Insurance $165 - $2,958 92%
Parkview_Signature_Care_Insurance $189 - $2,429 105%
Point_Comfort_Insurance $201 - $2,024 112%
Margaret_Mary_Health_Insurance $205 - $2,429 114%
United_Health_Care_Insurance $235 - $2,790 131%
Beechstreet_Insurance $250 - $3,052 140%
Cigna $250 - $2,958 140%
Health_Ohio_Network_Insurance $281 - $2,958 157%
Custom_Design_Benefits_Insurance $294 - $2,958 164%
Health_Smart_Preferred_Insurance $294 - $2,958 164%
Medical_Benefit_Administrators_Insurance $294 - $2,958 164%
Ohio_Health_Choice_Insurance $294 - $2,958 164%
Private_Health_Care_Systems_Insurance $297 - $2,989 166%
First_Health_Group_Insurance $303 - $3,052 169%
Health_Link_Insurance $303 - $3,052 169%
Evolutions_Health_Care_Systems $309 - $3,114 172%
Galaxy_Health_Insurance $309 - $3,114 172%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3333 Burnet Avenue, Cincinnati, OH 45229
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens