CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Morton Plant North Bay Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $2,474
Cash Discount Price: $3,743
vs. Medicare Baseline: 13.81x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Morton Plant North Bay Hospital is $2,474. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,743. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 13.81x the Medicare baseline. Located in 6600 Madison Street, New Port Richey, FL.

Cash / Self-Pay

$3,743

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,474

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: $3,743 (2089%)

Insurance Median: $2,474 (1381%)

Cash: $3,743 (2089% of Medicare)

Ins. Median: $2,474 (1381% 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 1381% of the Medicare baseline (a markup of 1281%). 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	$123 - $5,085	69%
Baycareplus	$179	100%
Blue Cross Blue Shield	$179 - $3,302	100%
Humana	$186 - $223	104%
UnitedHealthcare	$191 - $5,615	107%
Solis Health	$197	110%
Cigna	$205 - $5,428	114%
Clear Health Alliance	$209	117%
Freedom Health	$217	121%
Molina Healthcare	$217	121%
Simply Healthcare	$217 - $1,123	121%
Sunshine Health	$217	121%
Florida Community Care	$228	127%
Wellcare	$250	140%
Ambetter / Centene	$402 - $6,239	224%
Molina	$1,123 - $3,687	627%
Freedom	$1,248	696%
Optimum	$1,248	696%
Careplus	$1,426	796%
Ultimate Health Plan	$1,872	1045%
Avmed	$1,934 - $3,057	1079%
Evolutions	$3,120 - $5,802	1741%
First Health	$5,303	2959%
Multiplan	$5,615	3133%
United Behavioral Health	$6,239	3482%

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 $3,743.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Morton Plant North Bay Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
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.