CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Baptist Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $795
Cash Discount Price: $915
vs. Medicare Baseline: 4.44x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Baptist Hospital is $795. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $915. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.44x the Medicare baseline. Located in 123 Baptist Way, Pensacola, FL.

Cash / Self-Pay

$915

Average discount available for prompt cash payment at this facility.

Insurance Median

$795

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: $915 (511%)

Insurance Median: $795 (444%)

Cash: $915 (511% of Medicare)

Ins. Median: $795 (444% 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 444% of the Medicare baseline (a markup of 344%). 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
Hospice Covenant	$179	100%
Medicare (plans)	$179	100%
UnitedHealthcare	$180 - $1,900	100%
Humana	$182 - $247	102%
Healthspring Of Fl Al	$184	103%
Aetna	$188 - $4,453	105%
Mh Wellcare	$188	105%
Wellcare	$188	105%
Cha Health Plan	$206	115%
Mh Sunshine Mcaid	$216	121%
Staywell	$216	121%
Sunshine Health	$216	121%
Fl Community Care Ltc	$220	123%
Simply Healthcare Healthy Kids	$237	132%
Fl Blue	$268 - $1,684	150%
Uwf Athletes	$395 - $3,965	220%
Pensacola	$915	511%
Bc Fl	$1,212	676%
Hospice Regency	$1,830	1021%
Cigna	$2,898 - $6,100	1617%
Hospice Emerald Coast	$3,050	1702%
Escambia	$3,660	2042%
Private Healthcare	$3,965	2213%
First Health	$4,240	2366%
Wc Corvel	$4,346 - $5,795	2425%
Choicecare	$4,575	2553%
Mh Choicecare	$4,575	2553%
Multiplan	$5,429	3030%

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 $915.
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 Baptist 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.