CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Florida Northwest Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,805
Cash Discount Price: $6,888
vs. Medicare Baseline: 10.07x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Florida Northwest Hospital is $1,805. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,888. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 10.07x the Medicare baseline. Located in 2801 N State Rd 7, Margate, FL.

Cash / Self-Pay

$6,888

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,805

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: $6,888 (3844%)

Insurance Median: $1,805 (1007%)

Cash: $6,888 (3844% of Medicare)

Ins. Median: $1,805 (1007% 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 1007% of the Medicare baseline (a markup of 907%). 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 - $3,100	224%
Freedom Health	$592 - $1,102	330%
Optimum	$592	330%
Aetna	$769 - $2,066	429%
Avmed	$890 - $3,444	497%
Simply Healthcare Plans	$895	499%
Molina	$1,309 - $1,860	730%
Health Sun Health Plan	$1,467	819%
Mmm Of Fl (Health Advantage Plan)	$1,584	884%
United Ppo	$1,632	911%
Sunshine State Health Plan	$1,818	1015%
Blis	$2,411	1345%
Plotkin Health	$3,444	1922%
Prime Health Sherriff	$3,444	1922%
Corvel Corporation	$3,619	2020%
Careworks (Rockport)	$3,696	2063%
Prime Health	$3,696	2063%
Medica Healthcare	$3,995	2229%
Multiplan	$5,166 - $5,855	2883%

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 $6,888.
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 Northwest 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.