CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Lower Keys Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $372
  • Cash Discount Price: $1,295
  • vs. Medicare Baseline: 3.48x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Lower Keys Medical Center is $372. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,295. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.48x the Medicare baseline. Located in 5900 College Road, Key West, FL.
Cash / Self-Pay
$1,295

Average discount available for prompt cash payment at this facility.

Insurance Median
$372

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: $1,295 (1212%)
Insurance Median: $372 (348%)
Cash: $1,295 (1212% of Medicare)
Ins. Median: $372 (348% 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 348% of the Medicare baseline (a markup of 248%). 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
UnitedHealthcare $62 - $3,212 58%
Veterans Eval Services $100 94%
Tricare $111 104%
Blue Cross Blue Shield $115 - $4,177 108%
Humana $115 - $325 108%
Medicare (plans) $115 108%
Ultimate Health $115 108%
Node Champva $117 110%
Node Non Par Hospice Agree $117 110%
Node United Behavioral Va Ccn $117 110%
Node Va $117 110%
Correct Care Solutions $129 121%
Node Us Dept Of Labor $146 137%
Prime Health Work Comp Fl $171 160%
Fl Work Comp $176 165%
Heritage Summit Work Comp Fl $176 165%
State Auto Insurance Fl $234 219%
Florida Childrens Medical Services $316 296%
Medicaid / KanCare $316 - $347 296%
South Florida Community Care Network $316 296%
Amerigroup $347 325%
Positive Healthcare $347 325%
Simply Healthcare $347 - $1,295 325%
Wellcare $347 325%
Wellcare Healthease $347 325%
Molina $357 334%
Prestige Health Choice $366 343%
Magellan $379 355%
Self Pay $1,128 - $1,462 1056%
Cigna $2,464 2307%
Aetna $2,915 2729%
Monroe County $3,133 2933%
Evolutions Healthcare Systems $3,342 - $3,968 3129%
Keys Energy $3,342 3129%
Prime Health Ppo $3,342 3129%
Avmed Health Plan $3,550 3324%
Direct Healthcare $4,177 3911%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 College Road, Key West, FL 33040
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals