CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Larkin Community Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $207
  • Cash Discount Price: $1,813
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Larkin Community Hospital is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,813. 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
$1,813

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: $1,813 (1012%)
Insurance Median: $207 (116%)
Cash: $1,813 (1012% 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) $38 - $5,212 21%
Aetna $54 - $4,964 30%
Fci-All Plans $54 - $206 30%
Global Excel-All Plans $54 - $2,978 30%
Clear Springs Hlth-All Plans $57 - $188 32%
Fdc-All Plans $62 35%
UnitedHealthcare $68 - $241 38%
Jipa Network-All Plans $141 79%
Medicaid / KanCare $145 - $217 81%
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 - $4,964 116%
Magellan Complete Care $207 116%
Molina Exch Marketplace-All Other Plans $207 116%
Avmed-All Plans $217 - $4,964 121%
Bright Health-All Other Plans $217 - $5,957 121%
Coventry Comml-All Plans $217 - $4,964 121%
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 $1,986 1108%
Haa Preferred Partners-All Plans $2,978 1662%
Corvel Mcare Workers Comp-All Plans $4,468 2493%
Careplus Health-All Other Plans $4,964 2770%
Centurion-All Plans $4,964 2770%
Doctors Healthcare-All Plans $4,964 2770%
First Med Hp Of Fl-All Plans $4,964 2770%
Oscar Health-All Plans $9,928 5540%

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