CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Sarasota Memorial Hospital - Venice

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $3,078
Cash Discount Price: $2,052
vs. Medicare Baseline: 17.18x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Sarasota Memorial Hospital - Venice is $3,078. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,052. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 17.18x the Medicare baseline. Located in 2600 Laurel Road East, North Venice, FL.

Cash / Self-Pay

$2,052

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,078

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: $2,052 (1145%)

Insurance Median: $3,078 (1718%)

Cash: $2,052 (1145% of Medicare)

Ins. Median: $3,078 (1718% 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 1718% of the Medicare baseline (a markup of 1618%). 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
Blue Cross Blue Shield	$179	100%
Aetna	$184 - $4,690	103%
UnitedHealthcare	$184 - $4,402	103%
Simply Freedom Optimum	$188	105%
Wellcare	$188	105%
Florida Community Care	$197 - $228	110%
Simply Healthcare	$207 - $217	116%
Sunshine State	$217	121%
Molina	$223	124%
Amerihealth Caritas	$228	127%
Community Care Plan	$228	127%
Ambetter / Centene	$482	269%
Careworks	$3,084 - $3,751	1721%
Enlyte	$3,084 - $3,751	1721%
Avmed	$3,210 - $4,279	1791%
Usa Managed Care	$3,518 - $4,690	1963%
First Health	$3,650 - $4,865	2037%

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 $2,052.
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 Sarasota Memorial Hospital - Venice 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.