CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Cleveland Clinic Indian River Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $179
  • Cash Discount Price: $619
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Cleveland Clinic Indian River Hospital is $179. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $619. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.00x the Medicare baseline. Located in 1000 36Th St, Vero Beach, FL.
Cash / Self-Pay
$619

Average discount available for prompt cash payment at this facility.

Insurance Median
$179

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: $619 (345%)
Insurance Median: $179 (100%)
Cash: $619 (345% of Medicare)
Ins. Median: $179 (100% 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.

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
Blue Cross Blue Shield $50 - $1,506 28%
Avmed $53 - $409 30%
Careplus $53 - $179 30%
Magellan $53 - $851 30%
United $53 - $179 30%
Value Options $53 30%
Wellcare $53 - $179 30%
Freedom Health $55 - $179 31%
Independent Living Systems $55 - $188 31%
Wellmed $55 - $179 31%
Clear Spring Health $57 - $211 32%
Aetna $63 - $1,216 35%
Cigna $63 - $426 35%
Carelon Bh Strategies $179 100%
Humana $179 100%
Devoted Health $197 110%
Clarity Health $316 - $922 176%
The Legacy Companies $316 - $922 176%
National Provider Network $340 190%
Three Rivers $340 190%
Consociate Health $364 203%
Bmi $780 435%
Multiplan $1,135 633%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 36Th St, Vero Beach, FL 32960
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals