CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Florida Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $3,725
  • Cash Discount Price: $16,933
  • vs. Medicare Baseline: 20.79x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Florida Memorial Hospital is $3,725. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,933. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 20.79x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.
Cash / Self-Pay
$16,933

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,725

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: $16,933 (9449%)
Insurance Median: $3,725 (2079%)
Cash: $16,933 (9449% of Medicare)
Ins. Median: $3,725 (2079% 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 2079% of the Medicare baseline (a markup of 1979%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 - $7,620 224%
Aetna $716 - $5,080 400%
Avmed $825 - $1,863 460%
Optimum Healthcare $1,422 794%
Simply Healthcare $2,608 1455%
City Of Jacksonville $2,785 1554%
Corvel Corporation $2,785 1554%
Prime Health $2,844 1587%
Positive Healthcare $3,725 2079%
Sunshine State Health Plan $4,318 2410%
Molina Healthcare $4,572 2551%
Plotkin Health $8,466 4724%
Multiplan $13,208 - $14,393 7371%
Evernorth $13,546 7559%
Evolutions Healthcare $13,546 - $14,393 7559%
Ppo Next $14,393 8032%
Novanet $15,240 8504%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3625 University Blvd S, Jacksonville, FL 32216
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals