CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $567
  • Cash Discount Price: $1,062
  • vs. Medicare Baseline: 5.31x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Baptist Health Medical Center - Jacksonville is $567. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,062. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.31x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$1,062

Average discount available for prompt cash payment at this facility.

Insurance Median
$567

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: $1,062 (994%)
Insurance Median: $567 (531%)
Cash: $1,062 (994% of Medicare)
Ins. Median: $567 (531% 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 531% of the Medicare baseline (a markup of 431%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Corvel $75 - $1,531 70%
Coventry Workers Comp $75 - $1,531 70%
Community Hospice Of Northeast Florida $106 - $107 99%
Pace $106 - $107 99%
Tomorrow'S Rainbow $106 - $107 99%
Va Ccn $106 - $107 99%
UnitedHealthcare $107 - $2,597 100%
Aetna $108 - $1,250 101%
Florida Community Care $112 - $228 105%
Devoted $113 106%
Upmc $117 110%
Non-Contracted $176 - $234 165%
Amerigroup Of Georgia $207 194%
Caresource Of Georgia $207 - $1,015 194%
Daniel Memorial $207 194%
Humana $207 - $228 194%
Peach State Health Plan $207 - $1,015 194%
Simply Healthcare Plans $217 - $248 203%
Simply Healthcare Plans - Cha $217 203%
Amerihealth Caritas $228 213%
Sunshine State Health Plan $228 213%
United Community Plan $228 213%
Vivida Health $228 213%
Molina Healthcare Of Florida $246 230%
Ambetter / Centene $255 - $256 239%
Blue Cross Blue Shield $453 - $1,015 424%
Avmed $549 - $656 514%
Centivo $595 - $1,328 557%
Cigna $609 - $953 570%
Borland Groover $625 585%
Occunet $625 - $781 585%
Northeast Florida State Hospital $656 - $734 614%
Capital Health Plan $719 673%
Innovative Healthware Services $734 687%
Geo Group $781 731%
Volusia Health Network $859 804%
Watchtower $859 804%
Fscj Student Insurance $937 877%
Nemours Research $983 920%
Suddath Company $984 921%
Medicaid / KanCare $1,015 950%
Uf Health Proton Therapy Institute $1,093 1023%
Phcs $1,172 - $1,250 1097%
Evolutions Healthcare $1,406 1316%
Multiplan $1,406 1316%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals