CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Florida Mercy Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $4,756
Cash Discount Price: $19,140
vs. Medicare Baseline: 26.54x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Florida Mercy Hospital is $4,756. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19,140. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 26.54x the Medicare baseline. Located in 401 Nw 42Nd Ave, Plantation, FL.

Cash / Self-Pay

$19,140

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,756

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: $19,140 (10681%)

Insurance Median: $4,756 (2654%)

Cash: $19,140 (10681% of Medicare)

Ins. Median: $4,756 (2654% 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 2654% of the Medicare baseline (a markup of 2554%). 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 - $8,613	224%
Aetna	$809 - $5,742	451%
Avmed	$845 - $9,570	472%
Freedom Health	$1,646 - $3,062	919%
Optimum	$1,646	919%
Simply Healthcare Plans	$2,488	1388%
Corvel Corporation	$3,037	1695%
Careworks (Rockport)	$3,101	1730%
Prime Health	$3,101	1730%
Molina	$3,637 - $5,168	2030%
Health Sun Health Plan	$4,077	2275%
Aids Healthcare	$4,211 - $22,968	2350%
Mmm Of Fl (Health Advantage Plan)	$4,402	2456%
United Ppo	$4,536	2531%
Sunshine State Health Plan	$4,976	2777%
Plotkin Health	$9,570	5340%
Prime Health Sherriff	$9,570	5340%
Medica Healthcare	$11,293	6302%
Multiplan	$14,355 - $16,269	8011%
Evernorth Bh	$15,312	8545%

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 $19,140.
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 Mercy 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.