CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Florida Trinity Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $3,187
Cash Discount Price: $22,648
vs. Medicare Baseline: 17.78x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Florida Trinity Hospital is $3,187. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22,648. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 17.78x the Medicare baseline. Located in 9330 Sr 54, Trinity, FL.

Cash / Self-Pay

$22,648

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,187

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: $22,648 (12638%)

Insurance Median: $3,187 (1778%)

Cash: $22,648 (12638% of Medicare)

Ins. Median: $3,187 (1778% 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 1778% of the Medicare baseline (a markup of 1678%). 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 - $10,191	224%
Avmed	$738 - $1,863	412%
Aetna	$757 - $6,794	422%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$1,064	594%
Access 2 Healthcare Physicians Freedom Health	$1,631	910%
Access 2 Healthcare Physicians Optimum	$1,631	910%
Freedom Health Care	$1,767	986%
Optimum Healthcare	$1,767	986%
Corvel Corporation	$2,828	1578%
Rockport Healthcare Group	$2,828	1578%
Prime Health	$2,887	1611%
Simply Healthcare	$3,488	1946%
Molina	$4,303 - $6,115	2401%
Sunshine State Health Plan	$5,775	3223%
Beacon Health Options	$11,324	6319%
Plotkin Health	$11,324	6319%
Prime Health Sheriff	$11,324	6319%
Evolutions Healthcare Systems	$13,589 - $20,836	7583%
Multiplan	$16,986 - $19,251	9479%
Evernorth	$18,118	10110%

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 $22,648.
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 Trinity 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.