CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Baptist Medical Center Beaches

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $605
  • Cash Discount Price: $1,530
  • vs. Medicare Baseline: 3.38x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Baptist Medical Center Beaches is $605. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,530. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.38x the Medicare baseline. Located in 1350 13Th Ave S, Jacksonville Beach, FL.
Cash / Self-Pay
$1,530

Average discount available for prompt cash payment at this facility.

Insurance Median
$605

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: $1,530 (854%)
Insurance Median: $605 (338%)
Cash: $1,530 (854% of Medicare)
Ins. Median: $605 (338% 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 338% of the Medicare baseline (a markup of 238%). 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 $132 - $2,419 74%
Coventry Workers Comp $132 - $2,419 74%
Community Hospice Of Northeast Florida $179 100%
Pace $179 100%
Tomorrow'S Rainbow $179 100%
Va Ccn $179 100%
UnitedHealthcare $180 - $2,597 100%
Aetna $182 - $1,974 102%
Florida Community Care $188 - $228 105%
Devoted $189 105%
Upmc $197 110%
Amerigroup Of Georgia $207 116%
Daniel Memorial $207 116%
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%
Ambetter / Centene $429 239%
Blue Cross Blue Shield $472 - $1,604 263%
Avmed $549 - $656 306%
Centivo $595 - $2,098 332%
Borland Groover $987 551%
Occunet $987 551%
Cigna $1,037 - $1,505 579%
Northeast Florida State Hospital $1,037 579%
Capital Health Plan $1,135 633%
Geo Group $1,234 689%
Watchtower $1,357 757%
Fscj Student Insurance $1,481 826%
Suddath Company $1,555 868%
Caresource Of Georgia $1,604 895%
Medicaid / KanCare $1,604 895%
Peach State Health Plan $1,604 895%
Phcs $1,851 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: 1350 13Th Ave S, Jacksonville Beach, FL 32250
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals