CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Winter Haven Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $3,175
Cash Discount Price: $4,408
vs. Medicare Baseline: 17.72x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Winter Haven Hospital is $3,175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,408. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 17.72x the Medicare baseline. Located in 200 Ave F Ne, Winter Haven, FL.

Cash / Self-Pay

$4,408

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,175

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: $4,408 (2460%)

Insurance Median: $3,175 (1772%)

Cash: $4,408 (2460% of Medicare)

Ins. Median: $3,175 (1772% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1772% of the Medicare baseline (a markup of 1672%). 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	$147 - $5,987	82%
Baycareplus	$179	100%
Blue Cross Blue Shield	$179 - $4,234	100%
Humana	$186 - $223	104%
Careplus	$189	105%
UnitedHealthcare	$191 - $6,611	107%
Solis Health	$197	110%
Freedom	$203	113%
Optimum	$203	113%
Cigna	$205 - $6,391	114%
Health First	$205	114%
Clear Health Alliance	$209	117%
Freedom Health	$217	121%
Molina Healthcare	$217	121%
Simply Healthcare	$217 - $1,322	121%
Sunshine Health	$217	121%
Florida Community Care	$228	127%
Wellcare	$250	140%
Ambetter / Centene	$402 - $7,346	224%
Molina	$1,322 - $4,341	738%
Ultimate Health Plan	$2,204	1230%
Avmed	$2,277 - $3,600	1271%
Florida Hospital	$3,379	1886%
Evolutions	$3,673 - $6,832	2050%
Multiplan	$5,877	3280%
First Health	$6,244	3484%
United Behavioral Health	$7,346	4099%

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 $4,408.
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 Winter Haven 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.