CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: HCA Florida Mercy Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $3,025
Cash Discount Price: $12,174
vs. Medicare Baseline: 28.32x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at HCA Florida Mercy Hospital is $3,025. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,174. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 28.32x the Medicare baseline. Located in 401 Nw 42Nd Ave, Plantation, FL.

Cash / Self-Pay

$12,174

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,025

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: $12,174 (11398%)

Insurance Median: $3,025 (2832%)

Cash: $12,174 (11398% of Medicare)

Ins. Median: $3,025 (2832% 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 2832% of the Medicare baseline (a markup of 2732%). 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 - $5,478	229%
Aetna	$809 - $3,652	757%
Avmed	$845 - $6,087	791%
Freedom Health	$1,047 - $1,948	980%
Optimum	$1,047	980%
Simply Healthcare Plans	$1,583	1482%
Corvel Corporation	$2,297	2151%
Molina	$2,313 - $3,287	2166%
Careworks (Rockport)	$2,345	2195%
Prime Health	$2,345	2195%
Health Sun Health Plan	$2,593	2428%
Aids Healthcare	$2,678 - $14,609	2507%
Mmm Of Fl (Health Advantage Plan)	$2,800	2621%
United Ppo	$2,885	2701%
Sunshine State Health Plan	$3,165	2963%
Plotkin Health	$6,087	5699%
Prime Health Sherriff	$6,087	5699%
Medica Healthcare	$7,183	6725%
Multiplan	$9,130 - $10,348	8548%
Evernorth Bh	$9,739	9118%

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 $12,174.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Mercy Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71250.
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.