CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Shands Jacksonville

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $1,002
  • Cash Discount Price: $2,571
  • vs. Medicare Baseline: 5.59x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Shands Jacksonville is $1,002. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,571. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.59x the Medicare baseline. Located in 655 W 8Th St, Jacksonville, FL.
Cash / Self-Pay
$2,571

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
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $2,571 (1435%)
Insurance Median: $1,002 (559%)
Cash: $2,571 (1435% of Medicare)
Ins. Median: $1,002 (559% 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 559% of the Medicare baseline (a markup of 459%). 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 $174 - $3,852 97%
Ameri-Plus Preferred Care $183 102%
Blue Cross Blue Shield $183 - $2,370 102%
Capital Health Plan $183 - $2,338 102%
Humana $183 - $3,974 102%
Beacon Health Strategies $189 105%
Careplus Health Plan $189 105%
Florida Health Care Plan $189 - $322 105%
UnitedHealthcare $190 - $1,720 106%
Devoted Health Plan $192 - $201 107%
Positive Healthcare Partners $197 - $201 110%
Wellcare Of Florida $214 119%
Carelon Health $228 127%
Florida Complete Care $229 128%
Molina $232 - $248 129%
Florida Community Care $238 133%
Simply Healthcare $247 138%
Amerihealth Caritas Florida $248 138%
Community Care Plan $248 138%
Wellpath $295 165%
Ambetter / Centene $297 166%
Avmed $857 - $1,614 478%
Cigna $1,719 959%
Volusia Health Network $1,964 1096%
Northeast Florida State Hospital $2,057 1148%
North Florida Evaluation & Treatment Center $2,197 1226%
Centivo $2,571 1435%
Disney Cruise Line $2,805 1565%
Health First Health Plan $3,039 - $3,273 1696%
Mental Health Associates $3,039 1696%
Prime Health Services $3,273 - $3,507 1826%
Florida Health Alliance $3,366 1878%
Archbold Medical Center $3,507 1957%
Genex $3,507 1957%
Rockport Provider $3,507 1957%
Corvel Corp $3,974 2218%
First Health $3,974 2218%
Florida Hospital Healthcare System $3,974 2218%
Medsave Usa Tpa $3,974 2218%
Fringe Benefits Coordinators $4,208 - $4,442 2348%
Multiplan $4,208 2348%
Novanet $4,208 2348%

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