CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Florida Jfk Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $2,457
Cash Discount Price: $11,169
vs. Medicare Baseline: 13.71x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Florida Jfk Hospital is $2,457. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,169. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 13.71x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.

Cash / Self-Pay

$11,169

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,457

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: $11,169 (6233%)

Insurance Median: $2,457 (1371%)

Cash: $11,169 (6233% of Medicare)

Ins. Median: $2,457 (1371% 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 1371% of the Medicare baseline (a markup of 1271%). 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 - $5,026	224%
Healthy Palm Beaches	$550	307%
Aetna	$868 - $3,351	484%
Avmed	$890 - $5,584	497%
Freedom Health	$961 - $1,787	536%
Optimum	$961	536%
Simply Healthcare Plans	$1,452	810%
Molina	$1,899 - $3,016	1060%
Health Sun Health Plan	$2,379	1328%
Aids Healthcare	$2,457 - $13,403	1371%
Mmm Of Fl (Health Advantage Plan)	$2,569	1434%
United Ppo	$2,647	1477%
Sunshine State Health Plan	$2,904	1621%
Corvel Corporation	$2,925	1632%
Careworks (Rockport)	$2,986	1666%
Prime Health	$2,986	1666%
Blis	$3,909	2181%
District Cares	$5,584	3116%
Plotkin Health	$5,584	3116%
Prime Health Sherriff	$5,584	3116%
Medica Healthcare	$6,590	3677%
Multiplan	$8,377 - $9,494	4675%
Evernorth Bh	$8,935	4986%

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 $11,169.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Jfk Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.