CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: HCA Florida Citrus Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $2,032
Cash Discount Price: $18,194
vs. Medicare Baseline: 19.02x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at HCA Florida Citrus Hospital is $2,032. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18,194. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.02x the Medicare baseline. Located in 502 W Highland Blvd, Inverness, FL.

Cash / Self-Pay

$18,194

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,032

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $18,194 (17034%)

Insurance Median: $2,032 (1902%)

Cash: $18,194 (17034% of Medicare)

Ins. Median: $2,032 (1902% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1902% of the Medicare baseline (a markup of 1802%). 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	$245 - $8,187	229%
Avmed	$738 - $1,863	691%
Aetna	$757 - $5,458	709%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$855	800%
Access 2 Healthcare Physicians Freedom Health	$1,092	1022%
Access 2 Healthcare Physicians Optimum	$1,092	1022%
Freedom Health Care	$1,183	1108%
Optimum Healthcare	$1,183	1108%
Corvel Corporation	$1,990	1863%
Rockport Healthcare Group	$1,990	1863%
Prime Health	$2,032	1902%
Molina	$3,457 - $4,912	3237%
Sunshine State Health Plan	$4,640	4344%
Beacon Health Options	$9,097	8517%
Plotkin Health	$9,097	8517%
Prime Health Sheriff	$9,097	8517%
Evolutions Healthcare Systems	$10,917 - $16,739	10221%
Multiplan	$13,646 - $15,465	12776%
Evernorth	$14,556	13628%

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 $18,194.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Citrus Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71250.
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.