CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $590
  • Cash Discount Price: $1,678
  • vs. Medicare Baseline: 3.29x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Baptist Health Medical Center - Jacksonville is $590. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,678. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.29x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$1,678

Average discount available for prompt cash payment at this facility.

Insurance Median
$590

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: $1,678 (936%)
Insurance Median: $590 (329%)
Cash: $1,678 (936% of Medicare)
Ins. Median: $590 (329% 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 329% of the Medicare baseline (a markup of 229%). 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.

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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 $132 - $2,419 74%
Coventry Workers Comp $132 - $2,419 74%
Community Hospice Of Northeast Florida $178 - $179 99%
Pace $178 - $179 99%
Tomorrow'S Rainbow $178 - $179 99%
Va Ccn $178 - $179 99%
UnitedHealthcare $180 - $2,597 100%
Aetna $182 - $1,974 102%
Florida Community Care $187 - $228 104%
Devoted $189 105%
Upmc $196 - $197 109%
Amerigroup Of Georgia $207 116%
Caresource Of Georgia $207 - $1,604 116%
Daniel Memorial $207 116%
Humana $207 - $228 116%
Peach State Health Plan $207 - $1,604 116%
Simply Healthcare Plans $217 - $248 121%
Simply Healthcare Plans - Cha $217 121%
Amerihealth Caritas $228 127%
Sunshine State Health Plan $228 127%
United Community Plan $228 127%
Vivida Health $228 127%
Molina Healthcare Of Florida $246 137%
Non-Contracted $264 - $370 147%
Ambetter / Centene $427 - $429 238%
Blue Cross Blue Shield $453 - $1,604 253%
Avmed $549 - $656 306%
Centivo $595 - $2,098 332%
Cigna $963 - $1,505 537%
Nemours Research $983 549%
Borland Groover $987 551%
Occunet $987 - $1,234 551%
Northeast Florida State Hospital $1,037 - $1,160 579%
Capital Health Plan $1,135 633%
Innovative Healthware Services $1,160 647%
Geo Group $1,234 689%
Volusia Health Network $1,357 757%
Watchtower $1,357 757%
Fscj Student Insurance $1,481 826%
Suddath Company $1,555 868%
Medicaid / KanCare $1,604 895%
Uf Health Proton Therapy Institute $1,728 964%
Phcs $1,851 - $1,974 1033%
Evolutions Healthcare $2,221 1239%
Multiplan $2,221 1239%

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