CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $230
  • Cash Discount Price: $710
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Cincinnati Children's Hospital Medical Center is $230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $710. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.28x the Medicare baseline. Located in 3333 Burnet Avenue, Cincinnati, OH.
Cash / Self-Pay
$710

Average discount available for prompt cash payment at this facility.

Insurance Median
$230

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: $710 (396%)
Insurance Median: $230 (128%)
Cash: $710 (396% of Medicare)
Ins. Median: $230 (128% 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 $35 - $2,466 20%
Aetna $36 - $2,384 20%
Mhs_In $36 - $102 20%
Caresource_In $37 - $107 21%
Humana $38 - $627 21%
Passport_Ky $38 - $652 21%
United_Health_Care_Ky $38 - $662 21%
Wellcare_Ky $38 - $660 21%
Caresource_Oh $74 - $588 41%
Amerihealth_Caritas_Oh $76 - $635 42%
Molina_Oh $77 - $646 43%
Buckeye_Oh $81 - $676 45%
United_Health_Care_Oh $88 - $620 49%
Caresource_Oh_Insurance $132 - $1,204 74%
Medical_Mutual_Of_Ohio_Insurance $147 - $2,384 82%
Parkview_Signature_Care_Insurance $169 - $1,957 94%
Point_Comfort_Insurance $179 - $1,631 100%
Margaret_Mary_Health_Insurance $182 - $1,957 102%
United_Health_Care_Insurance $209 - $2,248 117%
Beechstreet_Insurance $222 - $2,459 124%
Cigna $222 - $2,384 124%
Health_Ohio_Network_Insurance $250 - $2,384 140%
Custom_Design_Benefits_Insurance $261 - $2,384 146%
Health_Smart_Preferred_Insurance $261 - $2,384 146%
Medical_Benefit_Administrators_Insurance $261 - $2,384 146%
Ohio_Health_Choice_Insurance $261 - $2,384 146%
Private_Health_Care_Systems_Insurance $264 - $2,409 147%
First_Health_Group_Insurance $270 - $2,459 151%
Health_Link_Insurance $270 - $2,459 151%
Evolutions_Health_Care_Systems $275 - $2,509 153%
Galaxy_Health_Insurance $275 - $2,509 153%

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