CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Clarion Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $176
  • Cash Discount Price: $290
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Clarion Hospital is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $290. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.65x the Medicare baseline. Located in One Hospital Drive, Clarion, PA.
Cash / Self-Pay
$290

Average discount available for prompt cash payment at this facility.

Insurance Median
$176

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $290 (272%)
Insurance Median: $176 (165%)
Cash: $290 (272% of Medicare)
Ins. Median: $176 (165% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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
Upmc $97 - $645 91%
Highmark $101 - $176 95%
Amerihealth $102 - $128 95%
Cigna $102 - $258 95%
Highmark Community Blue $102 95%
Martin'S Point - Usfhp $102 - $181 95%
Medicare (plans) $102 95%
Tricare $102 95%
UnitedHealthcare $102 95%
Aetna $105 - $460 98%
Geisinger $107 - $140 100%
Devoted Health Plan $108 - $207 101%
The Health Plan $108 - $240 101%
Gateway $109 - $191 102%
Pa Health & Wellness $109 102%
American Health Plan $113 106%
Medicaid / KanCare $117 110%
Jefferson Health Plan $128 120%
Highmark - Ind.& Managed Care $176 - $230 165%
Peak Health $240 - $362 225%
Devon $388 363%
Workers Comp $545 510%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Drive, Clarion, PA 16214
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals