CMS Price Transparency Data

CT scan, head (no contrast)

Facility: HCA Florida Mercy Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $3,196
Cash Discount Price: $12,860
vs. Medicare Baseline: 29.92x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at HCA Florida Mercy Hospital is $3,196. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,860. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 29.92x the Medicare baseline. Located in 401 Nw 42Nd Ave, Plantation, FL.

Cash / Self-Pay

$12,860

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,196

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: $12,860 (12040%)

Insurance Median: $3,196 (2992%)

Cash: $12,860 (12040% of Medicare)

Ins. Median: $3,196 (2992% 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 2992% of the Medicare baseline (a markup of 2892%). 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 - $5,787	229%
Aetna	$809 - $3,858	757%
Avmed	$845 - $6,430	791%
Freedom Health	$1,106 - $2,058	1035%
Optimum	$1,106	1035%
Simply Healthcare Plans	$1,672	1565%
Corvel Corporation	$2,228	2086%
Careworks (Rockport)	$2,275	2130%
Prime Health	$2,275	2130%
Molina	$2,443 - $3,472	2287%
Health Sun Health Plan	$2,739	2564%
Aids Healthcare	$2,829 - $15,432	2649%
Mmm Of Fl (Health Advantage Plan)	$2,958	2769%
United Ppo	$3,048	2854%
Sunshine State Health Plan	$3,344	3131%
Plotkin Health	$6,430	6020%
Prime Health Sherriff	$6,430	6020%
Medica Healthcare	$7,587	7103%
Multiplan	$9,645 - $10,931	9030%
Evernorth Bh	$10,288	9632%

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 $12,860.
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 Mercy 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.