CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Larkin Community Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $207
  • Cash Discount Price: $531
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Larkin Community Hospital is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $531. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.16x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$531

Average discount available for prompt cash payment at this facility.

Insurance Median
$207

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: $531 (296%)
Insurance Median: $207 (116%)
Cash: $531 (296% of Medicare)
Ins. Median: $207 (116% 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
Medicare (plans) $43 - $6,174 24%
Jipa Network-All Plans $60 - $493 33%
Aetna $61 - $5,880 34%
Fci-All Plans $61 - $206 34%
Global Excel-All Plans $61 - $3,528 34%
Clear Springs Hlth-All Plans $64 - $188 36%
Medicaid / KanCare $64 - $758 36%
Fdc-All Plans $70 39%
UnitedHealthcare $77 - $241 43%
Avmed-All Plans $92 - $5,880 51%
Bright Health-All Other Plans $92 - $7,056 51%
Coventry Comml-All Plans $92 - $5,880 51%
Blue Cross Blue Shield $170 - $1,722 95%
Florida Comm Care Mcare-All Other Plans $179 100%
Ops Maritime-All Plans $179 100%
Opus Hospice Ip Only-All Plans $179 100%
Preferred Care Partners Mcare-All Plans $179 100%
Corvel Mcaid Workers Comp $186 104%
Sunshine Behavioral $186 104%
Unicare Simply Mcare Ppo-All Plans $188 105%
Wellpath-All Plans $197 110%
Ambetter / Centene $207 116%
Community Care Phks Mcaid-All Other Plans $207 116%
Florida Comm Care Mcaid $207 116%
Humana $207 - $5,880 116%
Magellan Complete Care $207 116%
Molina Exch Marketplace-All Other Plans $207 116%
Allianz (Azga)-All Plans $232 129%
Healthsun-All Plans $350 195%
Jmh Health Plan Hmo/Ppo-All Other Plans $450 251%
Cigna $500 279%
Florida Health Solution/Hmo-All Plans $500 279%
Star Network-All Plans $2,352 1313%
Haa Preferred Partners-All Plans $3,528 1969%
Corvel Mcare Workers Comp-All Plans $5,292 2953%
Careplus Health-All Other Plans $5,880 3281%
Centurion-All Plans $5,880 3281%
Doctors Healthcare-All Plans $5,880 3281%
First Med Hp Of Fl-All Plans $5,880 3281%
Oscar Health-All Plans $11,760 6563%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals