CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Florida Osceola Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $10,092
Cash Discount Price: $21,799
vs. Medicare Baseline: 56.32x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Florida Osceola Hospital is $10,092. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21,799. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 56.32x the Medicare baseline. Located in 700 West Oak Street, Kissimmee, FL.

Cash / Self-Pay

$21,799

Average discount available for prompt cash payment at this facility.

Insurance Median

$10,092

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: $21,799 (12165%)

Insurance Median: $10,092 (5632%)

Cash: $21,799 (12165% of Medicare)

Ins. Median: $10,092 (5632% 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 5632% of the Medicare baseline (a markup of 5532%). 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 - $10,654	224%
Avmed	$887 - $11,837	495%
Aetna	$1,186 - $7,102	662%
Freedom Health	$1,453 - $1,705	811%
Optimum	$1,453 - $1,705	811%
Corvel Corporation	$2,790	1557%
Prime Health	$2,849	1590%
Careworks (Rockport Community)	$2,937	1639%
Simply	$3,108 - $3,646	1734%
Molina Healthcare	$3,835 - $6,392	2140%
Sunshine State Health Plan	$5,147 - $6,037	2872%
Plotkin Health	$10,092 - $11,837	5632%
Prime Health Sheriff	$10,092 - $11,837	5632%
Multiplan	$15,138 - $20,124	8448%
Evernorth	$16,148 - $18,940	9011%
Ppo Next	$17,157 - $20,124	9574%
Novanet	$18,166 - $21,307	10137%
Beacon Health Options	$20,185 - $23,675	11264%

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 $21,799.
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 Osceola 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.