CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Memorial Hospital Miramar

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $3,884
  • Cash Discount Price: $5,902
  • vs. Medicare Baseline: 21.67x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Memorial Hospital Miramar is $3,884. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,902. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 21.67x the Medicare baseline. Located in 1901 Sw 172Nd Ave, Miramar, FL.
Cash / Self-Pay
$5,902

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,884

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: $5,902 (3294%)
Insurance Median: $3,884 (2167%)
Cash: $5,902 (3294% of Medicare)
Ins. Median: $3,884 (2167% 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 2167% of the Medicare baseline (a markup of 2067%). 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
Wellcare $194 - $200 108%
Florida Community Care $196 109%
Humana $198 110%
Aetna $203 - $2,023 113%
Solis Health Plan $207 116%
Avmed $208 - $3,891 116%
Health Sun $209 - $9,483 117%
Florida Pace Centers $211 118%
UnitedHealthcare $220 - $728 123%
Align Senior Care $223 124%
Longevity $229 128%
Sunshine $247 - $5,310 138%
Community Care Plan $343 191%
Molina $350 195%
Amerihealth Caritas $368 205%
Prime Health Services $467 261%
Cigna $560 - $907 313%
Employers Health Network $630 352%
Broward County $718 - $2,726 401%
Emerging Therapy Solutions $3,058 - $7,586 1706%
Allianz $3,313 - $8,219 1849%
Axis $3,313 - $8,219 1849%
Desjardins Financial Security Life Assurance Company $3,313 - $8,219 1849%
Global Health Claims $3,313 - $10,747 1849%
Global Medical Management $3,313 - $8,219 1849%
Global Reach Health $3,313 - $8,219 1849%
National Healthcare Solutions $3,313 - $8,219 1849%
Plotkin $3,313 - $8,219 1849%
Quality Health Management $3,313 - $8,219 1849%
Quebec Inc $3,313 - $8,219 1849%
Star Healthcare Network $3,313 - $8,219 1849%
World Medical Care $3,313 - $8,219 1849%
Worldwide Managed Care Partners $3,313 - $8,219 1849%
Worldwide Medical Assurance $3,313 - $8,219 1849%
Dimension Health $3,440 - $8,535 1920%
Corvel $3,619 2020%
Employers Choice Network $3,619 2020%
First Health $3,619 2020%
Gallagher Bassett $3,619 - $10,115 2020%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 Sw 172Nd Ave, Miramar, FL 33029
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals