CMS Price Transparency Data

CT scan, sinuses

Facility: HCA Florida Jfk Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $2,329
Cash Discount Price: $14,010
vs. Medicare Baseline: 21.81x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at HCA Florida Jfk Hospital is $2,329. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,010. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 21.81x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.

Cash / Self-Pay

$14,010

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,329

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: $14,010 (13117%)

Insurance Median: $2,329 (2181%)

Cash: $14,010 (13117% of Medicare)

Ins. Median: $2,329 (2181% 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 2181% of the Medicare baseline (a markup of 2081%). 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	$245 - $6,304	229%
Healthy Palm Beaches	$550	515%
Aetna	$868 - $4,203	813%
Avmed	$890 - $7,005	833%
Freedom Health	$1,205 - $2,242	1128%
Optimum	$1,205	1128%
Simply Healthcare Plans	$1,821	1705%
Corvel Corporation	$2,084	1951%
Careworks (Rockport)	$2,128	1992%
Prime Health	$2,128	1992%
Molina	$2,382 - $3,783	2230%
Health Sun Health Plan	$2,984	2794%
Aids Healthcare	$3,082 - $16,812	2885%
Mmm Of Fl (Health Advantage Plan)	$3,222	3017%
United Ppo	$3,320	3108%
Sunshine State Health Plan	$3,643	3411%
Blis	$4,904	4591%
District Cares	$7,005	6558%
Plotkin Health	$7,005	6558%
Prime Health Sherriff	$7,005	6558%
Medica Healthcare	$8,266	7739%
Multiplan	$10,508 - $11,908	9838%
Evernorth Bh	$11,208	10493%

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 $14,010.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70486.

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 70486.
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.