CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Florida Mercy Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $3,481
Cash Discount Price: $13,387
vs. Medicare Baseline: 19.43x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Florida Mercy Hospital is $3,481. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,387. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 19.43x the Medicare baseline. Located in 401 Nw 42Nd Ave, Plantation, FL.

Cash / Self-Pay

$13,387

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,481

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: $13,387 (7470%)

Insurance Median: $3,481 (1943%)

Cash: $13,387 (7470% of Medicare)

Ins. Median: $3,481 (1943% 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 1943% of the Medicare baseline (a markup of 1843%). 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 - $6,024	224%
Aetna	$809 - $4,016	451%
Avmed	$845 - $6,694	472%
Freedom Health	$1,151 - $2,142	642%
Optimum	$1,151	642%
Simply Healthcare Plans	$1,740	971%
Molina	$2,544 - $3,614	1420%
Health Sun Health Plan	$2,851	1591%
Aids Healthcare	$2,945 - $16,064	1643%
Mmm Of Fl (Health Advantage Plan)	$3,079	1718%
United Ppo	$3,173	1771%
Sunshine State Health Plan	$3,481	1943%
Corvel Corporation	$3,590	2003%
Careworks (Rockport)	$3,665	2045%
Prime Health	$3,665	2045%
Plotkin Health	$6,694	3735%
Prime Health Sherriff	$6,694	3735%
Medica Healthcare	$7,898	4407%
Multiplan	$10,040 - $11,379	5603%
Evernorth Bh	$10,710	5977%

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 $13,387.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

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 70460.
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.