CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Halifax Health Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $1,677
  • Cash Discount Price: $3,049
  • vs. Medicare Baseline: 9.36x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Halifax Health Medical Center is $1,677. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,049. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.36x the Medicare baseline. Located in 303 N Clyde Morris Blvd, Daytona Beach, FL.
Cash / Self-Pay
$3,049

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,677

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: $3,049 (1701%)
Insurance Median: $1,677 (936%)
Cash: $3,049 (1701% of Medicare)
Ins. Median: $1,677 (936% 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 936% of the Medicare baseline (a markup of 836%). 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 - $3,240 85%
Tricare $169 94%
Humana $173 - $356 97%
Aetna $179 - $2,287 100%
Americas Choice Provider Network $179 - $3,431 100%
Blue Cross Blue Shield $179 - $1,677 100%
Cigna $179 100%
Coventry $179 - $2,409 100%
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 - $2,287 100%
Wellcare $179 100%
Molina $182 - $206 102%
Devoted Health $186 104%
Independent Living Systems $188 - $216 105%
Longevity $188 105%
Prime Health Services $188 - $2,287 105%
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 $1,303 - $1,304 727%
Avmed $1,753 - $1,906 978%
County Of Volusia Corrections $1,905 - $1,906 1063%
A&G Admin $1,943 - $1,944 1084%
Volusia County Employee $1,943 - $1,944 1084%
Oscar $2,286 - $2,287 1276%
Volusia $2,286 - $2,668 1276%
Sim Plan Pay $2,476 - $2,478 1382%
Hrgi $2,667 - $2,668 1488%
Plotkin Consulting $2,667 - $2,668 1488%
Evolutions International $2,858 - $2,859 1595%
Summit America $3,048 - $3,050 1701%
Integrated Health Plan $3,429 - $3,431 1914%
Multiplan $3,429 - $3,431 1914%
Three Rivers $3,620 - $3,621 2020%

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