CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Florida Northwest Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $2,303
Cash Discount Price: $8,858
vs. Medicare Baseline: 12.85x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Florida Northwest Hospital is $2,303. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,858. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 12.85x the Medicare baseline. Located in 2801 N State Rd 7, Margate, FL.

Cash / Self-Pay

$8,858

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,303

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: $8,858 (4943%)

Insurance Median: $2,303 (1285%)

Cash: $8,858 (4943% of Medicare)

Ins. Median: $2,303 (1285% 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 1285% of the Medicare baseline (a markup of 1185%). 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 - $3,986	224%
Freedom Health	$762 - $1,417	425%
Optimum	$762	425%
Aetna	$769 - $2,657	429%
Avmed	$890 - $4,429	497%
Simply Healthcare Plans	$1,152	643%
Molina	$1,683 - $2,392	939%
Health Sun Health Plan	$1,887	1053%
Mmm Of Fl (Health Advantage Plan)	$2,037	1137%
United Ppo	$2,099	1171%
Sunshine State Health Plan	$2,339	1305%
Corvel Corporation	$3,062	1709%
Blis	$3,100	1730%
Careworks (Rockport)	$3,127	1745%
Prime Health	$3,127	1745%
Plotkin Health	$4,429	2472%
Prime Health Sherriff	$4,429	2472%
Medica Healthcare	$5,138	2867%
Multiplan	$6,644 - $7,529	3708%

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 $8,858.
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 Northwest 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.