CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: HCA Florida Northwest Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $2,337
Cash Discount Price: $8,990
vs. Medicare Baseline: 21.88x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at HCA Florida Northwest Hospital is $2,337. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,990. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 21.88x the Medicare baseline. Located in 2801 N State Rd 7, Margate, FL.

Cash / Self-Pay

$8,990

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,337

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: $8,990 (8417%)

Insurance Median: $2,337 (2188%)

Cash: $8,990 (8417% of Medicare)

Ins. Median: $2,337 (2188% 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 2188% of the Medicare baseline (a markup of 2088%). 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 - $4,046	229%
Aetna	$769 - $2,697	720%
Freedom Health	$773 - $1,438	724%
Optimum	$773	724%
Avmed	$890 - $4,495	833%
Simply Healthcare Plans	$1,169	1094%
Molina	$1,708 - $2,427	1599%
Health Sun Health Plan	$1,915	1793%
Mmm Of Fl (Health Advantage Plan)	$2,068	1936%
United Ppo	$2,131	1995%
Corvel Corporation	$2,316	2168%
Careworks (Rockport)	$2,365	2214%
Prime Health	$2,365	2214%
Sunshine State Health Plan	$2,373	2222%
Blis	$3,146	2945%
Plotkin Health	$4,495	4208%
Prime Health Sherriff	$4,495	4208%
Medica Healthcare	$5,214	4882%
Multiplan	$6,742 - $7,642	6312%

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 $8,990.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Northwest Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71250.
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.