CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Oviedo Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,863
Cash Discount Price: $20,726
vs. Medicare Baseline: 10.40x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Oviedo Medical Center is $1,863. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20,726. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 10.40x the Medicare baseline. Located in 8300 Red Bug Lake Rd, Oviedo, FL.

Cash / Self-Pay

$20,726

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,863

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: $20,726 (11566%)

Insurance Median: $1,863 (1040%)

Cash: $20,726 (11566% of Medicare)

Ins. Median: $1,863 (1040% 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 1040% of the Medicare baseline (a markup of 940%). 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
United	$402 - $9,327	224%
Avmed	$887 - $10,363	495%
Aetna	$1,186 - $6,218	662%
Freedom Health	$1,492	833%
Optimum	$1,492	833%
Prime Health	$2,849	1590%
Simply	$3,192	1781%
Molina Healthcare	$3,938	2198%
Sunshine State Health Plan	$5,285	2949%

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 $20,726.
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 Oviedo Medical Center 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.