CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Gulf Breeze Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $872
Cash Discount Price: $960
vs. Medicare Baseline: 4.87x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Gulf Breeze Hospital is $872. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $960. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.87x the Medicare baseline. Located in 1110 Gulf Breeze Pkwy, Gulf Breeze, FL.

Cash / Self-Pay

$960

Average discount available for prompt cash payment at this facility.

Insurance Median

$872

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: $960 (536%)

Insurance Median: $872 (487%)

Cash: $960 (536% of Medicare)

Ins. Median: $872 (487% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 487% of the Medicare baseline (a markup of 387%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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)	$164	92%
Hospice Covenant	$179	100%
UnitedHealthcare	$180 - $1,900	100%
Humana	$182 - $216	102%
Aetna	$188 - $4,672	105%
Wellcare	$188 - $216	105%
Cha Health Plan	$206	115%
Sunshine Health	$216	121%
Fl Community Care Ltc	$220	123%
Simply Healthcare Healthy Kids	$237	132%
Fl Blue	$298 - $1,676	166%
Uwf Athletes	$525	293%
Pensacola	$960	536%
Bc Fl	$1,043	582%
Hospice Regency	$1,920	1071%
Cigna	$3,040 - $6,400	1696%
Hospice Emerald Coast	$3,200	1786%
Private Healthcare	$4,160	2321%
First Health	$4,448	2482%
Wc Corvel	$4,560 - $6,080	2545%
Choicecare	$4,800	2679%
Multiplan	$5,696	3179%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $960.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Gulf Breeze Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.