CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Jay Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $357
  • Cash Discount Price: $231
  • vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Jay Hospital is $357. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $231. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.99x the Medicare baseline. Located in 14114 Alabama St, Jay, FL.
Cash / Self-Pay
$231

Average discount available for prompt cash payment at this facility.

Insurance Median
$357

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: $231 (129%)
Insurance Median: $357 (199%)
Cash: $231 (129% of Medicare)
Ins. Median: $357 (199% 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
Wellcare $39 - $339 22%
Medicare (plans) $172 96%
Humana $182 - $339 102%
Aetna $206 - $734 115%
Cha Health Plan $206 115%
Simply Healthcare Healthy Kids $206 115%
Staywell $216 121%
Sunshine Health $216 121%
UnitedHealthcare $316 - $1,890 176%
Fl Community Care Ltc $338 189%
Bc Fl $339 189%
Fl Blue $375 - $1,504 209%
Hospice Emerald Coast $770 430%
Hospice Regency $770 430%
Hospice Vitas $770 430%
Cigna $854 - $1,539 477%
Private Healthcare $1,000 558%
First Health $1,091 609%
Wc Corvel $1,097 - $1,462 612%
Multiplan $1,370 765%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14114 Alabama St, Jay, FL 32565
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals