CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: HCA Florida Jfk Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $2,580
  • Cash Discount Price: $16,122
  • vs. Medicare Baseline: 24.16x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at HCA Florida Jfk Hospital is $2,580. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,122. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 24.16x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.
Cash / Self-Pay
$16,122

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,580

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: $16,122 (15094%)
Insurance Median: $2,580 (2416%)
Cash: $16,122 (15094% of Medicare)
Ins. Median: $2,580 (2416% 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 2416% of the Medicare baseline (a markup of 2316%). 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 - $7,255 229%
Healthy Palm Beaches $550 515%
Aetna $868 - $4,837 813%
Avmed $890 - $8,061 833%
Freedom Health $1,386 - $2,580 1298%
Optimum $1,386 1298%
Simply Healthcare Plans $2,096 1962%
Corvel Corporation $2,212 2071%
Careworks (Rockport) $2,258 2114%
Prime Health $2,258 2114%
Molina $2,741 - $4,353 2566%
Health Sun Health Plan $3,434 3215%
Aids Healthcare $3,547 - $19,346 3321%
Mmm Of Fl (Health Advantage Plan) $3,708 3472%
United Ppo $3,821 3577%
Sunshine State Health Plan $4,192 3925%
Blis $5,643 5283%
District Cares $8,061 7547%
Plotkin Health $8,061 7547%
Prime Health Sherriff $8,061 7547%
Medica Healthcare $9,512 8906%
Multiplan $12,092 - $13,704 11321%
Evernorth Bh $12,898 12076%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5301 S Congress Ave, Atlantis, FL 33462
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals