CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $590
  • Cash Discount Price: $1,393
  • vs. Medicare Baseline: 3.29x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with 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 $1,393. 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
$1,393

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: $1,393 (777%)
Insurance Median: $590 (329%)
Cash: $1,393 (777% 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.

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 $110 - $2,007 61%
Coventry Workers Comp $110 - $2,007 61%
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 - $1,638 102%
Florida Community Care $187 - $228 104%
Devoted $189 105%
Upmc $196 - $197 109%
Amerigroup Of Georgia $207 116%
Caresource Of Georgia $207 - $1,331 116%
Daniel Memorial $207 116%
Humana $207 - $228 116%
Peach State Health Plan $207 - $1,331 116%
Non-Contracted $211 - $307 118%
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%
Ambetter / Centene $427 - $429 238%
Blue Cross Blue Shield $453 - $1,331 253%
Avmed $549 - $656 306%
Centivo $595 - $1,741 332%
Cigna $799 - $1,249 446%
Borland Groover $819 457%
Occunet $819 - $1,024 457%
Northeast Florida State Hospital $860 - $963 480%
Capital Health Plan $942 526%
Innovative Healthware Services $963 537%
Nemours Research $983 549%
Geo Group $1,024 571%
Volusia Health Network $1,126 628%
Watchtower $1,126 628%
Fscj Student Insurance $1,229 686%
Suddath Company $1,290 720%
Medicaid / KanCare $1,331 743%
Uf Health Proton Therapy Institute $1,434 800%
Phcs $1,536 - $1,638 857%
Evolutions Healthcare $1,843 1028%
Multiplan $1,843 1028%

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