CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Coral Gables Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $206
  • Cash Discount Price: $11,691
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Coral Gables Hospital is $206. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,691. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.15x the Medicare baseline. Located in 3100 Douglas Rd, Coral Gables, FL.
Cash / Self-Pay
$11,691

Average discount available for prompt cash payment at this facility.

Insurance Median
$206

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: $11,691 (6524%)
Insurance Median: $206 (115%)
Cash: $11,691 (6524% of Medicare)
Ins. Median: $206 (115% 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
Veterans Administration Mill Bill $121 68%
Aetna $154 - $8,768 86%
Medicare (plans) $155 - $377 86%
Avmed Broad Network $157 88%
UnitedHealthcare $161 - $209 90%
Dimension Health Wc $162 90%
Workers Compensation $162 90%
Humana $166 - $345 93%
Devoted Health $172 96%
Leon Health Inc $172 96%
Tricare $173 97%
Catholic Hospice $175 98%
Employer Direct Healthcare $175 - $223 98%
Hcr Manor Care Services Of Fl Ii Dba Heartland Hospice Services $175 98%
Hospice Other $175 98%
Odyssey Healthcare Of Marion County Dba Kindred Hospice $175 98%
Opus Care Of South Florida $175 98%
Seasons Hospice And Palliative Care Of Southern Florida Inc $175 98%
Veterans Administration Vaccn $175 98%
Vitas Healthcare Corporation/Hospice Ppo $175 98%
Cigna $181 - $3,437 101%
Healthsun Health Plans $181 - $184 101%
Longevity Health Plan $183 102%
Imagine Health $201 112%
Medicaid / KanCare $206 - $216 115%
Florida Pace Centers $207 116%
Bright Health Management Commercial $210 117%
Self Pay/Uninsured $215 - $219 120%
Naphcare Inc $241 134%
Oscar Health Plan Hix $257 143%
Bc/Bs Of Fl Miami Dade Blue Select $258 144%
Avmed Exchange $306 171%
Ambetter / Centene $324 181%
Bc/Bs Of Fl Network Blue $328 183%
Bc/Bs Of Fl Health Options Hmo $330 184%
Molina Marketplace Program Exchange $334 186%
Bc/Bs Myblue Hmo Hix $339 189%
Auto Insurance $350 195%
Bc/Bs Of Fl Simplyblue $356 199%
Avmed Select Network $358 200%
Bc/Bs Of Fl Blue Select Exchange Non Par $360 201%
Amerihealth Caritas Next Exchange $377 210%
Bc/Bs Of Fl Ppo $384 214%
Bc/Bs Of Fl Phs $6,279 3504%
Dimension International $7,599 4241%
First Health $8,300 4632%
Dimension Health Ppo $8,768 4893%
Commercial Non-Contracted $11,691 6524%
Self Pay - Mcd Pending 100 Percent $11,691 6524%
Single Case Agreement $11,691 6524%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Douglas Rd, Coral Gables, FL 33134
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals