CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Larkin Community Hospital Palm Springs Campus

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $249
  • Cash Discount Price: $1,771
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Larkin Community Hospital Palm Springs Campus is $249. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,771. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.39x the Medicare baseline. Located in 1475 W 49Th St, Hialeah, FL.
Cash / Self-Pay
$1,771

Average discount available for prompt cash payment at this facility.

Insurance Median
$249

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: $1,771 (988%)
Insurance Median: $249 (139%)
Cash: $1,771 (988% of Medicare)
Ins. Median: $249 (139% 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
Medicare (plans) $56 - $4,844 31%
Bright Health Commercial - All Other Plans $59 - $220 33%
Clear Springs Health - All Plans $59 - $192 33%
Aetna $183 - $207 102%
Ambetter / Centene $183 102%
Blue Cross Blue Shield $183 - $1,722 102%
Opus Hospice Ip Only - All Plans $183 102%
Unicare Simply Mcare Ppo - All Plans $192 107%
Florida Community Care Mcaid-All Plans $207 116%
Miami Childrens Hp Mcaid-All Plans $207 116%
Simply Healthcare Mcaid $207 116%
Sunshine Mcaid $207 116%
United Mcaid $207 116%
Wellcare Mcaid $207 116%
Ccs - All Plans $247 138%
Florida Health Solution/Hmo - All Plans $250 140%
Fdc - All Plans $256 143%
Cigna $500 279%
Wellcare Comm (Choice) - All Other Plans $600 335%
Humana $604 - $4,844 337%
Leon Med Center Mcr Adv - All Plans $4,360 2433%
Careplus Health - All Other Plans $4,844 2703%
Centurion Doc - All Plans $4,844 2703%
Doctors Healthcare - All Plans $4,844 2703%
Preferred Care Partners Mcr - All Plans $4,844 2703%
Simply Healthcare Mcr - All Other Plans $4,844 2703%
UnitedHealthcare $4,844 2703%
Naphcare - All Plans $5,571 3109%
Oscar Health-All Plans $9,688 5406%

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