CMS Price Transparency Data

CT scan, head (no contrast)

Facility: North Shore Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $194
  • Cash Discount Price: $9,883
  • vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at North Shore Medical Center is $194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,883. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.82x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$9,883

Average discount available for prompt cash payment at this facility.

Insurance Median
$194

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: $9,883 (9253%)
Insurance Median: $194 (182%)
Cash: $9,883 (9253% of Medicare)
Ins. Median: $194 (182% 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
Humana $59 - $206 55%
Veterans Administration Mill Bill $72 67%
Avmed Broad Network $87 81%
Aetna $90 - $7,116 84%
Medicare (plans) $93 - $9,883 87%
Dimension Health Wc $95 89%
Workers Compensation $95 89%
UnitedHealthcare $98 - $209 92%
Devoted Health $103 96%
Leon Health Inc $103 96%
Tricare $104 97%
Employer Direct Healthcare $105 - $137 98%
Hospice Other $105 98%
Veterans Administration Vaccn $105 98%
Cigna $108 - $4,941 101%
Healthsun Health Plans $108 - $113 101%
Longevity Health Plan $110 103%
Imagine Health $116 109%
Florida Pace Centers $124 116%
Bright Health Management Commercial $126 118%
Centurion Prison $129 121%
Self Pay/Uninsured $129 - $135 121%
Oscar Health Plan Hix $156 146%
Avmed Exchange $183 171%
Ambetter / Centene $194 182%
Molina Marketplace Program Exchange $199 186%
Medicaid / KanCare $206 - $9,883 193%
Auto Insurance $209 196%
Avmed Select Network $214 200%
Amerihealth Caritas Next Exchange $225 211%
Bc/Bs Of Fl Health Options Hmo $327 306%
Bc/Bs Of Fl Network Blue $330 309%
Bc/Bs Myblue Hmo Hix $337 316%
Bc/Bs Of Fl Simplyblue $354 331%
Bc/Bs Of Fl Blue Select Exchange Non Par $364 341%
Bc/Bs Of Fl Ppo $387 362%
Bc/Bs Of Fl Phs $5,123 4796%
Magellan Behavioral Health $5,930 5552%
Dimensions International $6,424 6014%
First Health $6,720 6292%
Dimension Health Ppo $7,412 6939%
Beacon Health Strategies Commercial $9,883 9253%
Commercial Non-Contracted $9,883 9253%
Self Pay - Mcd Pending 100 Percent $9,883 9253%
Single Case Agreement $9,883 9253%
United Behavioral Health Psych $9,883 9253%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals