CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Florida Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $3,546
  • Cash Discount Price: $16,117
  • vs. Medicare Baseline: 19.79x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Florida Memorial Hospital is $3,546. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,117. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 19.79x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.
Cash / Self-Pay
$16,117

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,546

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: $16,117 (8994%)
Insurance Median: $3,546 (1979%)
Cash: $16,117 (8994% of Medicare)
Ins. Median: $3,546 (1979% 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 1979% of the Medicare baseline (a markup of 1879%). 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 - $7,253 224%
Aetna $716 - $4,835 400%
Avmed $825 - $1,863 460%
Optimum Healthcare $1,354 756%
Simply Healthcare $2,482 1385%
City Of Jacksonville $3,292 1837%
Corvel Corporation $3,292 1837%
Prime Health $3,362 1876%
Positive Healthcare $3,546 1979%
Sunshine State Health Plan $4,110 2294%
Molina Healthcare $4,352 2429%
Plotkin Health $8,058 4497%
Multiplan $12,571 - $13,699 7015%
Evernorth $12,894 7195%
Evolutions Healthcare $12,894 - $13,699 7195%
Ppo Next $13,699 7645%
Novanet $14,505 8094%

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