CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Ascension St Vincent's Clay County

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $204
  • Cash Discount Price: $722
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Ascension St Vincent's Clay County is $204. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $722. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.14x the Medicare baseline. Located in 1670 St Vincents Way, Middleburg, FL.
Cash / Self-Pay
$722

Average discount available for prompt cash payment at this facility.

Insurance Median
$204

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: $722 (403%)
Insurance Median: $204 (114%)
Cash: $722 (403% of Medicare)
Ins. Median: $204 (114% 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
Humana $173 - $180 97%
Bc Advantage Mcr Replacement $179 100%
Blue Cross Blue Shield $179 100%
Community Hospice $179 100%
Coventry Mcr Replacement Hmo $179 100%
Haven Hospice $179 100%
Medicare (plans) $179 - $182 100%
Research Study Encore Borland-Groover $179 100%
Veterans Administration $179 100%
Wellcare $179 100%
Cigna $180 - $722 100%
UnitedHealthcare $180 - $394 100%
Careplus Mcr Replacement $182 102%
Aetna $184 - $764 103%
Inmate Health Care $223 124%
Bright Health $241 - $259 134%
Smarthealth $250 140%
Oscar Health Plan $286 160%
Employer Direct Healthcare $313 175%
90 Degree Benefits $322 180%
Avmed Exchange $322 180%
Molina Exchange $331 185%
Occunet $331 - $402 185%
Ambetter / Centene $340 190%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1670 St Vincents Way, Middleburg, FL 32068
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals