CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Shands Jacksonville

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,002
  • Cash Discount Price: $2,321
  • vs. Medicare Baseline: 9.38x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Shands Jacksonville is $1,002. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,321. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.38x the Medicare baseline. Located in 655 W 8Th St, Jacksonville, FL.
Cash / Self-Pay
$2,321

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,002

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: $2,321 (2173%)
Insurance Median: $1,002 (938%)
Cash: $2,321 (2173% of Medicare)
Ins. Median: $1,002 (938% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 938% of the Medicare baseline (a markup of 838%). 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
Aetna $104 - $3,477 97%
Ameri-Plus Preferred Care $109 102%
Blue Cross Blue Shield $109 - $2,139 102%
Capital Health Plan $109 - $2,110 102%
Humana $109 - $3,587 102%
Beacon Health Strategies $112 105%
Careplus Health Plan $112 105%
Florida Health Care Plan $112 - $192 105%
UnitedHealthcare $114 - $1,720 107%
Devoted Health Plan $115 - $120 108%
Positive Healthcare Partners $117 - $120 110%
Wellcare Of Florida $128 120%
Florida Complete Care $136 127%
Molina $139 - $248 130%
Wellpath $176 165%
Ambetter / Centene $177 166%
Carelon Health $228 213%
Florida Community Care $238 223%
Simply Healthcare $247 231%
Amerihealth Caritas Florida $248 232%
Community Care Plan $248 232%
Avmed $857 - $1,614 802%
Cigna $1,719 1609%
Volusia Health Network $1,772 1659%
Northeast Florida State Hospital $1,857 1739%
North Florida Evaluation & Treatment Center $1,983 1857%
Centivo $2,321 2173%
Disney Cruise Line $2,532 2371%
Health First Health Plan $2,743 - $2,954 2568%
Mental Health Associates $2,743 2568%
Prime Health Services $2,954 - $3,165 2766%
Florida Health Alliance $3,038 2844%
Archbold Medical Center $3,165 2963%
Genex $3,165 2963%
Rockport Provider $3,165 2963%
Corvel Corp $3,587 3358%
First Health $3,587 3358%
Florida Hospital Healthcare System $3,587 3358%
Medsave Usa Tpa $3,587 3358%
Fringe Benefits Coordinators $3,798 - $4,009 3556%
Multiplan $3,798 3556%
Novanet $3,798 3556%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 655 W 8Th St, Jacksonville, FL 32209
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals