CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Sarasota Memorial Hospital - Venice

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $460
Cash Discount Price: $1,856
vs. Medicare Baseline: 2.57x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Sarasota Memorial Hospital - Venice is $460. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,856. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.57x the Medicare baseline. Located in 2600 Laurel Road East, North Venice, FL.

Cash / Self-Pay

$1,856

Average discount available for prompt cash payment at this facility.

Insurance Median

$460

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: $1,856 (1036%)

Insurance Median: $460 (257%)

Cash: $1,856 (1036% of Medicare)

Ins. Median: $460 (257% 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 257% of the Medicare baseline (a markup of 157%). 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 - $3,712	103%
UnitedHealthcare	$184 - $3,485	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%
Careworks	$460 - $3,645	257%
Enlyte	$460 - $3,645	257%
Ambetter / Centene	$482	269%
Avmed	$3,387	1890%
Usa Managed Care	$3,712	2071%
First Health	$3,851	2149%

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 $1,856.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

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 70460.
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.