CMS Price Transparency Data
CT scan, head (with contrast)
Facility: Palmetto General Hospital
Billing Code: 70460 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70460
- Insurance Median: $206
- Cash Discount Price: $9,374
- vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Palmetto General Hospital is $206. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,374. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.15x the Medicare baseline. Located in 2001 W 68Th St, Hialeah, FL.
Cash / Self-Pay
$9,374
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: $9,374 (5231%)
Insurance Median: $206 (115%)
Cash: $9,374 (5231% 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
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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 | $124 - $6,656 | 69% |
| Avmed Broad Network | $131 | 73% |
| Dimension Health Wc | $131 | 73% |
| Workers Compensation | $131 | 73% |
| Medicare (plans) | $155 - $9,374 | 86% |
| Healthsun Health Plans | $158 - $181 | 88% |
| UnitedHealthcare | $161 - $209 | 90% |
| Humana | $166 - $345 | 93% |
| Imagine Health | $167 | 93% |
| Devoted Health | $172 | 96% |
| Leon Health Inc | $172 | 96% |
| Tricare | $173 | 97% |
| Bristol Hospice- Miami Dade Llc | $175 | 98% |
| Catholic Hospice | $175 | 98% |
| Compassionate Care Hospice Of Miami Dade And The Fl Keys Inc | $175 | 98% |
| Employer Direct Healthcare | $175 - $191 | 98% |
| Hospice Other | $175 | 98% |
| Ima Evalutations Inc | $175 | 98% |
| Odyssey Healthcare Of Marion County Dba Kindred Hospice | $175 | 98% |
| Opuscare Of South Fl | $175 | 98% |
| Seasons Hospice And Pallative Care Of Southern Florida Inc | $175 | 98% |
| Select Specialty Hospital | $175 | 98% |
| Veterans Administration Vaccn | $175 | 98% |
| Vitas Healthcare Hospice | $175 | 98% |
| Westchester General Hospital | $175 | 98% |
| Cigna | $181 - $4,687 | 101% |
| Longevity Health Plan | $184 | 103% |
| Self Pay/Uninsured | $188 - $215 | 105% |
| Medicaid / KanCare | $206 - $9,374 | 115% |
| Florida Pace Centers | $207 | 116% |
| Bright Health Management Commercial | $210 | 117% |
| Oscar Health Plan Hix | $218 | 122% |
| Naphcare Inc | $241 | 134% |
| Bc/Bs Of Fl Miami Dade Blue Select | $258 | 144% |
| Avmed Exchange | $306 | 171% |
| Ambetter / Centene | $324 | 181% |
| Bc/Bs Of Fl Health Options Hmo | $327 | 182% |
| Bc/Bs Of Fl Network Blue | $330 | 184% |
| Molina Marketplace Program Exchange | $334 | 186% |
| Bc/Bs Myblue Hmo Hix | $337 | 188% |
| Auto Insurance | $350 | 195% |
| Bc/Bs Of Fl Simplyblue | $354 | 198% |
| Avmed Select Network | $358 | 200% |
| Bc/Bs Of Fl Blue Select Exchange Non Par | $364 | 203% |
| Amerihealth Caritas Next Exchange | $377 | 210% |
| Bc/Bs Of Fl Ppo | $387 | 216% |
| Liga Contra El Cancer | $2,000 | 1116% |
| Bc/Bs Of Fl Phs | $4,703 | 2624% |
| Magellan Behavioral Health | $5,624 | 3138% |
| Dimensions International | $6,093 | 3400% |
| First Health | $6,281 | 3505% |
| Dimension Health Ppo | $7,030 | 3923% |
| Beacon Health Strategies Commercial | $9,374 | 5231% |
| Commercial Non-Contracted | $9,374 | 5231% |
| Self Pay - Mcd Pending 100 Percent | $9,374 | 5231% |
| Single Case Agreement | $9,374 | 5231% |
| United Behavioral Health Psych | $9,374 | 5231% |