CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Cleveland Clinic Martin North Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $135
  • Cash Discount Price: $619
  • vs. Medicare Baseline: 0.75x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Cleveland Clinic Martin North Hospital is $135. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $619. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.75x the Medicare baseline. Located in 200 Se Hospital Ave, Stuart, FL.
Cash / Self-Pay
$619

Average discount available for prompt cash payment at this facility.

Insurance Median
$135

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: $619 (345%)
Insurance Median: $135 (75%)
Cash: $619 (345% of Medicare)
Ins. Median: $135 (75% 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
Blue Cross Blue Shield $42 - $902 23%
Avmed $53 - $688 30%
Miami Childrens Health Plan $53 - $179 30%
United $53 - $410 30%
Careplus $55 - $188 31%
Freedom Health $55 - $188 31%
Independent Living Systems $55 - $100 31%
Clear Spring Health $57 - $216 32%
Cigna $63 - $714 35%
Aetna $65 - $2,785 36%
Multiplan $79 - $205 44%
Humana $179 100%
Wellcare $179 100%
Devoted Health $197 110%
Clarity Health $316 - $922 176%
The Legacy Companies $316 - $922 176%
Consociate Health $364 - $1,064 203%
Bmi $780 435%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Se Hospital Ave, Stuart, FL 34994
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals