CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Florida Citrus Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $3,175
Cash Discount Price: $19,538
vs. Medicare Baseline: 17.72x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Florida Citrus Hospital is $3,175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19,538. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 17.72x the Medicare baseline. Located in 502 W Highland Blvd, Inverness, FL.

Cash / Self-Pay

$19,538

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,175

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: $19,538 (10903%)

Insurance Median: $3,175 (1772%)

Cash: $19,538 (10903% of Medicare)

Ins. Median: $3,175 (1772% 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 1772% of the Medicare baseline (a markup of 1672%). 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 - $8,792	224%
Avmed	$738 - $1,863	412%
Aetna	$757 - $5,861	422%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$918	512%
Access 2 Healthcare Physicians Freedom Health	$1,172	654%
Access 2 Healthcare Physicians Optimum	$1,172	654%
Freedom Health Care	$1,270	709%
Optimum Healthcare	$1,270	709%
Corvel Corporation	$3,110	1735%
Rockport Healthcare Group	$3,110	1735%
Prime Health	$3,175	1772%
Molina	$3,712 - $5,275	2071%
Sunshine State Health Plan	$4,982	2780%
Beacon Health Options	$9,769	5451%
Plotkin Health	$9,769	5451%
Prime Health Sheriff	$9,769	5451%
Evolutions Healthcare Systems	$11,723 - $17,975	6542%
Multiplan	$14,653 - $16,607	8177%
Evernorth	$15,630	8722%

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 $19,538.
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 HCA Florida Citrus Hospital 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.