CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Nationwide Children's Hospital Toledo, LLC

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $445
Cash Discount Price: $2,204
vs. Medicare Baseline: 2.48x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Nationwide Children's Hospital Toledo, LLC is $445. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,204. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.48x the Medicare baseline. Located in 2213 Cherry Street, Toledo, OH.

Cash / Self-Pay

$2,204

Average discount available for prompt cash payment at this facility.

Insurance Median

$445

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: $2,204 (1230%)

Insurance Median: $445 (248%)

Cash: $2,204 (1230% of Medicare)

Ins. Median: $445 (248% 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 248% of the Medicare baseline (a markup of 148%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Caresource	$51 - $188	28%
Paramount	$51	28%
Blue Cross Blue Shield	$54 - $1,874	30%
Front Path Health Coalition	$66 - $1,653	37%
Mcclaren Health Plan	$71 - $1,653	40%
Aetna	$95 - $1,414	53%
UnitedHealthcare	$130 - $1,855	73%
Cigna	$166 - $456	93%
Molina	$179 - $445	100%
Mcclaren Health Plan - Michigan	$185	103%
Ohc	$243 - $1,837	136%
Ohio Ppo Connect	$243 - $1,837	136%
Amerihealth	$449	251%
Bchp	$449	251%
Humana	$449	251%
Mmo	$918 - $1,286	512%
First Health	$2,829	1579%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,204.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Nationwide Children's Hospital Toledo, LLC is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.