CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: HCA Florida Lake City Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $4,448
  • Cash Discount Price: $9,387
  • vs. Medicare Baseline: 41.64x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at HCA Florida Lake City Hospital is $4,448. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,387. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 41.64x the Medicare baseline. Located in 340 Nw Commerce Dr, Lake City, FL.
Cash / Self-Pay
$9,387

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,448

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: $9,387 (8789%)
Insurance Median: $4,448 (4164%)
Cash: $9,387 (8789% of Medicare)
Ins. Median: $4,448 (4164% 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 4164% of the Medicare baseline (a markup of 4064%). 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 - $4,425 229%
Aetna $968 - $2,950 906%
Avmed $981 - $4,916 918%
Simply $1,377 - $1,514 1289%
Corvel Corporation $1,982 1856%
Prime Health $2,024 1895%
Careworks (Rockport Community) $2,087 1954%
Sunshine State Health Plan $2,280 - $2,507 2135%
Molina Healthcare $2,861 - $3,146 2679%
Plotkin Health $4,471 - $4,916 4186%
Prime Health Sheriff $4,471 - $4,916 4186%
Hamilton County Jail $4,829 - $5,310 4521%
Multiplan $6,975 - $8,358 6530%
Evolutions $7,601 - $8,358 7116%
Ppo Next $7,601 - $8,358 7116%
Novanet $8,048 - $8,849 7535%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 340 Nw Commerce Dr, Lake City, FL 32055
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals