CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Santa Rosa Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $222
  • Cash Discount Price: $2,525
  • vs. Medicare Baseline: 2.08x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Santa Rosa Medical Center is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,525. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.08x the Medicare baseline. Located in 6002 Berryhill Rd, Milton, FL.
Cash / Self-Pay
$2,525

Average discount available for prompt cash payment at this facility.

Insurance Median
$222

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $2,525 (2364%)
Insurance Median: $222 (208%)
Cash: $2,525 (2364% of Medicare)
Ins. Median: $222 (208% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 208% of the Medicare baseline (a markup of 108%). 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
Veterans Eval Services $100 94%
Humana $102 - $213 95%
Tricare $104 97%
Aetna $107 - $5,667 100%
Blue Cross Blue Shield $107 - $2,227 100%
Cigna $107 - $2,283 100%
Medicare (plans) $107 100%
UnitedHealthcare $107 - $1,960 100%
Hospice Of Nw Fl $109 102%
Node Champva $109 102%
Node Va $109 102%
Node Wellcare Mcr Adv $113 106%
Geo Group $136 127%
Node Us Dept Of Labor $136 127%
Prime Health Work Comp Fl $171 160%
Florida Workers Compensation $176 165%
Oscar $202 189%
Medicaid / KanCare $207 - $240 194%
Wellcare $217 203%
Florida State Auto Insurance $218 204%
Molina $234 219%
Fl Community Care $238 223%
Ambetter / Centene $261 244%
Self Pay $2,323 2175%
Prime Health Services $8,081 7566%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6002 Berryhill Rd, Milton, FL 32570
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals