CMS Price Transparency Data

CT scan, head (with contrast)

Facility: North Shore Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $210
  • Cash Discount Price: $9,374
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at North Shore Medical Center is $210. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,374. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.17x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$9,374

Average discount available for prompt cash payment at this facility.

Insurance Median
$210

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: $9,374 (5231%)
Insurance Median: $210 (117%)
Cash: $9,374 (5231% of Medicare)
Ins. Median: $210 (117% 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%
Aetna $124 - $6,749 69%
Avmed Broad Network $126 70%
Dimension Health Wc $131 73%
Workers Compensation $131 73%
Medicare (plans) $155 - $9,374 86%
Healthsun Health Plans $158 - $181 88%
UnitedHealthcare $161 - $209 90%
Imagine Health $167 93%
Devoted Health $172 96%
Leon Health Inc $172 96%
Tricare $173 97%
Employer Direct Healthcare $175 - $191 98%
Hospice Other $175 98%
Veterans Administration Vaccn $175 98%
Cigna $181 - $4,687 101%
Longevity Health Plan $184 103%
Self Pay/Uninsured $188 - $215 105%
Medicaid / KanCare $206 - $9,374 115%
Florida Pace Centers $207 116%
Bright Health Management Commercial $210 117%
Centurion Prison $215 120%
Oscar Health Plan Hix $218 122%
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 $4,859 2711%
Magellan Behavioral Health $5,624 3138%
Dimensions International $6,093 3400%
First Health $6,374 3557%
Dimension Health Ppo $7,030 3923%
Beacon Health Strategies Commercial $9,374 5231%
Commercial Non-Contracted $9,374 5231%
Self Pay - Mcd Pending 100 Percent $9,374 5231%
Single Case Agreement $9,374 5231%
United Behavioral Health Psych $9,374 5231%

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