CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Florida Twin Cities Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $6,857
Cash Discount Price: $22,856
vs. Medicare Baseline: 38.26x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Florida Twin Cities Hospital is $6,857. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22,856. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 38.26x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.

Cash / Self-Pay

$22,856

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,857

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: $22,856 (12754%)

Insurance Median: $6,857 (3826%)

Cash: $22,856 (12754% of Medicare)

Ins. Median: $6,857 (3826% 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 3826% of the Medicare baseline (a markup of 3726%). 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 - $10,285	224%
Avmed	$1,695 - $11,428	946%
Aetna	$1,696 - $6,857	946%
Corvel Corporation	$3,328	1857%
Prime Health	$3,398	1896%
Careworks (Rockport Community)	$3,503	1955%
Simply	$3,520	1964%
Molina Healthcare	$4,343 - $7,314	2424%
Sunshine State Health Plan	$5,828	3252%
Plotkin Health	$11,428	6377%
Prime Health Sheriff	$11,428	6377%
Evolutions Healthcare	$14,856 - $19,428	8290%
Multiplan	$17,828 - $19,428	9949%
Ppo Next	$19,428	10842%
Novanet	$20,570	11479%

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 $22,856.
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 HCA Florida Twin Cities 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.