CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: North Shore Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $215
  • Cash Discount Price: $11,691
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at North Shore Medical Center is $215. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,691. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.20x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$11,691

Average discount available for prompt cash payment at this facility.

Insurance Median
$215

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: $11,691 (6524%)
Insurance Median: $215 (120%)
Cash: $11,691 (6524% of Medicare)
Ins. Median: $215 (120% 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.

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 $98 - $345 55%
Veterans Administration Mill Bill $121 68%
Avmed Broad Network $152 85%
Aetna $154 - $8,417 86%
Medicare (plans) $155 - $11,691 86%
UnitedHealthcare $161 - $209 90%
Dimension Health Wc $162 90%
Workers Compensation $162 90%
Devoted Health $172 96%
Leon Health Inc $172 96%
Tricare $173 97%
Employer Direct Healthcare $175 - $223 98%
Hospice Other $175 98%
Veterans Administration Vaccn $175 98%
Cigna $181 - $5,845 101%
Healthsun Health Plans $181 - $184 101%
Longevity Health Plan $184 103%
Imagine Health $201 112%
Medicaid / KanCare $206 - $11,691 115%
Florida Pace Centers $207 116%
Bright Health Management Commercial $210 117%
Centurion Prison $215 120%
Self Pay/Uninsured $215 - $219 120%
Oscar Health Plan Hix $257 143%
Avmed Exchange $306 171%
Ambetter / Centene $324 181%
Bc/Bs Of Fl Health Options Hmo $327 182%
Bc/Bs Of Fl Network Blue $330 184%
Molina Marketplace Program Exchange $334 186%
Bc/Bs Myblue Hmo Hix $337 188%
Auto Insurance $350 195%
Bc/Bs Of Fl Simplyblue $354 198%
Avmed Select Network $358 200%
Bc/Bs Of Fl Blue Select Exchange Non Par $364 203%
Amerihealth Caritas Next Exchange $377 210%
Bc/Bs Of Fl Ppo $387 216%
Bc/Bs Of Fl Phs $6,060 3382%
Magellan Behavioral Health $7,014 3914%
Dimensions International $7,599 4241%
First Health $7,950 4436%
Dimension Health Ppo $8,768 4893%
Beacon Health Strategies Commercial $11,691 6524%
Commercial Non-Contracted $11,691 6524%
Self Pay - Mcd Pending 100 Percent $11,691 6524%
Single Case Agreement $11,691 6524%
United Behavioral Health Psych $11,691 6524%

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