CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Florida Lake City Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $5,661
Cash Discount Price: $11,948
vs. Medicare Baseline: 31.59x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Florida Lake City Hospital is $5,661. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,948. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 31.59x the Medicare baseline. Located in 340 Nw Commerce Dr, Lake City, FL.

Cash / Self-Pay

$11,948

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,661

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: $11,948 (6667%)

Insurance Median: $5,661 (3159%)

Cash: $11,948 (6667% of Medicare)

Ins. Median: $5,661 (3159% 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 3159% of the Medicare baseline (a markup of 3059%). 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 - $5,633	224%
Aetna	$968 - $3,755	540%
Avmed	$981 - $6,259	547%
Simply	$1,752 - $1,928	978%
Corvel Corporation	$2,621	1463%
Prime Health	$2,676	1493%
Careworks (Rockport Community)	$2,759	1540%
Sunshine State Health Plan	$2,902 - $3,192	1619%
Molina Healthcare	$3,641 - $4,006	2032%
Plotkin Health	$5,689 - $6,259	3175%
Prime Health Sheriff	$5,689 - $6,259	3175%
Hamilton County Jail	$6,145 - $6,759	3429%
Multiplan	$8,875 - $10,640	4953%
Evolutions	$9,672 - $10,640	5397%
Ppo Next	$9,672 - $10,640	5397%
Novanet	$10,241 - $11,266	5715%

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 $11,948.
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 Lake City 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.