CMS Price Transparency Data

CT scan, head (no contrast)

Facility: HCA Florida Sarasota Doctors Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $2,774
Cash Discount Price: $18,013
vs. Medicare Baseline: 25.97x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at HCA Florida Sarasota Doctors Hospital is $2,774. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18,013. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 25.97x the Medicare baseline. Located in 5731 Bee Ridge Rd, Sarasota, FL.

Cash / Self-Pay

$18,013

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,774

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: $18,013 (16865%)

Insurance Median: $2,774 (2597%)

Cash: $18,013 (16865% of Medicare)

Ins. Median: $2,774 (2597% 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 2597% of the Medicare baseline (a markup of 2497%). 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 - $8,106	229%
Avmed	$738 - $1,863	691%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$847	793%
Aetna	$848 - $5,404	794%
Access 2 Healthcare Physicians Freedom Health	$1,297	1214%
Access 2 Healthcare Physicians Optimum	$1,297	1214%
Freedom Health Care	$1,405	1315%
Optimum Healthcare	$1,405	1315%
Corvel Corporation	$2,074	1942%
Rockport Healthcare Group	$2,074	1942%
Prime Health	$2,118	1983%
Simply Healthcare	$2,774	2597%
Molina	$3,422 - $4,864	3204%
Sunshine State Health Plan	$4,593	4300%
Behealthy America	$7,025	6577%
Beacon Health Options	$9,007	8433%
Plotkin Health	$9,007	8433%
Prime Health Sheriff	$9,007	8433%
Evolutions Healthcare Systems	$9,907 - $16,572	9275%
Multiplan	$13,510 - $15,311	12649%
Evernorth	$14,411	13492%

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 $18,013.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Sarasota Doctors Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.