CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: HCA Florida Twin Cities Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $4,763
  • Cash Discount Price: $15,876
  • vs. Medicare Baseline: 44.59x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at HCA Florida Twin Cities Hospital is $4,763. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,876. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 44.59x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.
Cash / Self-Pay
$15,876

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,763

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: $15,876 (14864%)
Insurance Median: $4,763 (4459%)
Cash: $15,876 (14864% of Medicare)
Ins. Median: $4,763 (4459% 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 4459% of the Medicare baseline (a markup of 4359%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
United $245 - $7,144 229%
Avmed $1,695 - $7,938 1587%
Aetna $1,696 - $4,763 1588%
Corvel Corporation $2,130 1994%
Prime Health $2,174 2035%
Careworks (Rockport Community) $2,242 2099%
Simply $2,445 2289%
Molina Healthcare $3,016 - $5,080 2824%
Sunshine State Health Plan $4,048 3790%
Plotkin Health $7,938 7432%
Prime Health Sheriff $7,938 7432%
Evolutions Healthcare $10,319 - $13,495 9661%
Multiplan $12,383 - $13,495 11593%
Ppo Next $13,495 12635%
Novanet $14,288 13377%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2190 Hwy 85 N, Niceville, FL 32578
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals