CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Larkin Community Hospital Palm Springs Campus

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $207
  • Cash Discount Price: $311
  • vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Larkin Community Hospital Palm Springs Campus is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $311. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.94x the Medicare baseline. Located in 1475 W 49Th St, Hialeah, FL.
Cash / Self-Pay
$311

Average discount available for prompt cash payment at this facility.

Insurance Median
$207

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: $311 (291%)
Insurance Median: $207 (194%)
Cash: $311 (291% of Medicare)
Ins. Median: $207 (194% 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
Medicare (plans) $42 - $4,655 39%
Bright Health Commercial - All Other Plans $44 - $131 41%
Clear Springs Health - All Plans $44 - $115 41%
Aetna $109 - $207 102%
Ambetter / Centene $109 102%
Blue Cross Blue Shield $109 - $1,722 102%
Opus Hospice Ip Only - All Plans $109 102%
Unicare Simply Mcare Ppo - All Plans $115 108%
Ccs - All Plans $147 138%
Fdc - All Plans $153 143%
Florida Health Solution/Hmo - All Plans $200 187%
Florida Community Care Mcaid-All Plans $207 194%
Miami Childrens Hp Mcaid-All Plans $207 194%
Simply Healthcare Mcaid $207 194%
Sunshine Mcaid $207 194%
United Mcaid $207 194%
Wellcare Mcaid $207 194%
Cigna $500 468%
Wellcare Comm (Choice) - All Other Plans $600 562%
Humana $604 - $4,655 565%
Leon Med Center Mcr Adv - All Plans $4,190 3923%
Careplus Health - All Other Plans $4,655 4358%
Centurion Doc - All Plans $4,655 4358%
Doctors Healthcare - All Plans $4,655 4358%
Preferred Care Partners Mcr - All Plans $4,655 4358%
Simply Healthcare Mcr - All Other Plans $4,655 4358%
UnitedHealthcare $4,655 4358%
Naphcare - All Plans $5,353 5012%
Oscar Health-All Plans $9,310 8716%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1475 W 49Th St, Hialeah, FL 33012
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals