CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Halifax Health Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,798
  • Cash Discount Price: $3,268
  • vs. Medicare Baseline: 10.03x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Halifax Health Medical Center is $1,798. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,268. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 10.03x the Medicare baseline. Located in 303 N Clyde Morris Blvd, Daytona Beach, FL.
Cash / Self-Pay
$3,268

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,798

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: $3,268 (1824%)
Insurance Median: $1,798 (1003%)
Cash: $3,268 (1824% of Medicare)
Ins. Median: $1,798 (1003% 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 1003% of the Medicare baseline (a markup of 903%). 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
Embs $152 - $3,473 85%
Tricare $169 94%
Humana $173 - $356 97%
Aetna $179 - $2,452 100%
Americas Choice Provider Network $179 - $3,677 100%
Blue Cross Blue Shield $179 - $1,798 100%
Cigna $179 100%
Coventry $179 - $2,582 100%
Division Of The Blind $179 100%
Freedom Health $179 100%
Medicare (plans) $179 100%
Optimum Healthcare $179 100%
Sunshine State Health Plan $179 - $357 100%
UnitedHealthcare $179 - $2,452 100%
Wellcare $179 100%
Molina $182 - $206 102%
Devoted Health $186 104%
Independent Living Systems $188 - $216 105%
Longevity $188 105%
Prime Health Services $188 - $2,452 105%
Clear Spring Health Of Fl $195 109%
Hcra $206 115%
Medicaid / KanCare $206 115%
West Volusia $206 115%
Simply Healthcare Plans $216 121%
Caresource Network $226 126%
Employers Health Network $357 199%
Fhcp $361 201%
Centivo $384 214%
Florida Healthcare $388 217%
Claimdoc $402 224%
Florida Healthcare - Hecn $1,397 780%
Avmed $1,879 - $2,043 1049%
County Of Volusia Corrections $2,042 - $2,043 1140%
A&G Admin $2,083 - $2,084 1162%
Volusia County Employee $2,083 - $2,084 1162%
Oscar $2,451 - $2,452 1368%
Volusia $2,451 - $2,860 1368%
Sim Plan Pay $2,655 - $2,656 1482%
Hrgi $2,860 1596%
Plotkin Consulting $2,860 1596%
Evolutions International $3,064 1710%
Summit America $3,268 - $3,269 1824%
Integrated Health Plan $3,676 - $3,677 2051%
Multiplan $3,676 - $3,677 2051%
Three Rivers $3,881 - $3,882 2166%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals