CMS Price Transparency Data

CT scan, head (no contrast)

Facility: South Miami Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $2,210
Cash Discount Price: $3,156
vs. Medicare Baseline: 20.69x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at South Miami Hospital is $2,210. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,156. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 20.69x the Medicare baseline. Located in 6200 Sw 73Rd St, Miami, FL.

Cash / Self-Pay

$3,156

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,210

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: $3,156 (2955%)

Insurance Median: $2,210 (2069%)

Cash: $3,156 (2955% of Medicare)

Ins. Median: $2,210 (2069% 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 2069% of the Medicare baseline (a markup of 1969%). 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
Medicare (plans)	$109 - $147	102%
Blue Cross Blue Shield	$113 - $3,247	106%
Medica Health Plan	$117	110%
Humana	$119	111%
Avmed	$120 - $2,480	112%
Leon Medical	$120	112%
Aetna	$122 - $4,009	114%
Cigna	$124 - $4,009	116%
Amerigroup	$197	184%
Medicaid / KanCare	$197 - $217	184%
UnitedHealthcare	$207 - $5,011	194%
Wellcare	$207	194%
Sunshine State	$209	196%
Vista	$213	199%
Non Contracted	$1,725 - $1,839	1615%
Amerihealth	$2,115 - $2,255	1980%
International	$3,054 - $3,257	2859%
Dimension Health Plan	$3,524 - $4,510	3299%
Affordable	$3,994 - $4,259	3739%
Phcs	$4,229 - $4,510	3959%
Quality Health	$4,229 - $4,510	3959%

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 $3,156.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm South Miami Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.