CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Cleveland Clinic Martin North Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $160
Cash Discount Price: $639
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Cleveland Clinic Martin North Hospital is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $639. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.89x the Medicare baseline. Located in 200 Se Hospital Ave, Stuart, FL.

Cash / Self-Pay

$639

Average discount available for prompt cash payment at this facility.

Insurance Median

$160

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: $639 (357%)

Insurance Median: $160 (89%)

Cash: $639 (357% of Medicare)

Ins. Median: $160 (89% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$47 - $902	26%
Avmed	$59 - $688	33%
Miami Childrens Health Plan	$59 - $179	33%
United	$59 - $410	33%
Careplus	$62 - $188	35%
Freedom Health	$62 - $188	35%
Independent Living Systems	$62 - $119	35%
Clear Spring Health	$64 - $253	36%
Cigna	$71 - $714	40%
Aetna	$74 - $2,785	41%
Multiplan	$89 - $241	50%
Humana	$179	100%
Wellcare	$179	100%
Devoted Health	$197	110%
Clarity Health	$356 - $922	199%
The Legacy Companies	$356 - $922	199%
Consociate Health	$410 - $1,064	229%
Bmi	$780	435%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $639.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cleveland Clinic Martin North Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.