CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Sarasota Memorial Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $105
Cash Discount Price: $1,737
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Sarasota Memorial Hospital is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,737. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.98x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.

Cash / Self-Pay

$1,737

Average discount available for prompt cash payment at this facility.

Insurance Median

$105

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: $1,737 (1626%)

Insurance Median: $105 (98%)

Cash: $1,737 (1626% of Medicare)

Ins. Median: $105 (98% 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.

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
Molina Oncology	$30 - $52	28%
Simply Healthcare Oncology	$30 - $51	28%
Sunshine State Oncology	$30 - $51	28%
Amerihealth Caritas Oncology	$31 - $53	29%
Community Care Plan Oncology	$31 - $53	29%
Florida Community Care Oncology	$37 - $81	35%
Blue Cross Blue Shield	$38 - $108	36%
UnitedHealthcare	$41 - $3,262	38%
Wellcare Oncology	$42 - $69	39%
Simply Freedom Optimum Oncology	$43 - $71	40%
Aetna	$46 - $3,474	43%
Oscar Oncology	$67 - $111	63%
Ambetter / Centene	$105 - $288	98%
Simply Freedom Optimum	$112	105%
Wellcare	$112	105%
Florida Community Care	$117 - $228	110%
Simply Healthcare	$207 - $217	194%
Sunshine State	$217	203%
Molina	$223	209%
Amerihealth Caritas	$228	213%
Community Care Plan	$228	213%
Careworks	$2,262 - $2,643	2118%
Enlyte	$2,262 - $2,643	2118%
Avmed	$3,170	2968%
Usa Managed Care	$3,474	3253%
First Health	$3,605	3375%

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 $1,737.
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 Sarasota Memorial 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.