CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Winter Haven Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $1,912
Cash Discount Price: $2,655
vs. Medicare Baseline: 17.90x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Winter Haven Hospital is $1,912. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,655. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.90x the Medicare baseline. Located in 200 Ave F Ne, Winter Haven, FL.

Cash / Self-Pay

$2,655

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,912

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: $2,655 (2486%)

Insurance Median: $1,912 (1790%)

Cash: $2,655 (2486% of Medicare)

Ins. Median: $1,912 (1790% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1790% of the Medicare baseline (a markup of 1690%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$86 - $3,606	81%
Baycareplus	$107	100%
Blue Cross Blue Shield	$107 - $2,550	100%
Humana	$111 - $215	104%
Careplus	$113	106%
UnitedHealthcare	$114 - $3,982	107%
Solis Health	$117	110%
Freedom	$121	113%
Optimum	$121	113%
Cigna	$123 - $3,850	115%
Health First	$123	115%
Wellcare	$149	140%
Clear Health Alliance	$209	196%
Freedom Health	$217	203%
Molina Healthcare	$217	203%
Simply Healthcare	$217 - $796	203%
Sunshine Health	$217	203%
Florida Community Care	$228	213%
Ambetter / Centene	$240 - $4,425	225%
Molina	$796 - $2,615	745%
Ultimate Health Plan	$1,328	1243%
Avmed	$1,372 - $2,168	1285%
Florida Hospital	$2,036	1906%
Evolutions	$2,212 - $4,115	2071%
Multiplan	$3,540	3314%
First Health	$3,761	3521%
United Behavioral Health	$4,425	4143%

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 $2,655.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Winter Haven Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.