CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Marion Communtiy Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,949
  • Cash Discount Price: $5,163
  • vs. Medicare Baseline: 18.25x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Marion Communtiy Hospital is $1,949. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,163. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.25x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.
Cash / Self-Pay
$5,163

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,949

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: $5,163 (4834%)
Insurance Median: $1,949 (1825%)
Cash: $5,163 (4834% of Medicare)
Ins. Median: $1,949 (1825% 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 1825% of the Medicare baseline (a markup of 1725%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
United $245 - $2,424 229%
Simply $761 - $829 712%
Avmed $856 - $1,863 801%
Molina Healthcare $939 - $1,723 879%
Aetna $968 - $1,616 906%
Sunshine State Health Plan $1,260 - $1,373 1180%
Corvel Corporation $1,949 1825%
Prime Health $1,990 1863%
Careworks (Rockport Community) $2,051 1920%
Marion County Schools $2,051 1920%
Plotkin Health $2,470 - $2,693 2313%
Prime Health Sheriff $2,470 - $2,693 2313%
Multiplan $3,854 - $4,201 3608%
Ppo Next $4,199 - $4,578 3931%
Novanet $4,446 - $4,847 4163%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1431 Sw 1St Ave, Ocala, FL 34471
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals