CMS Price Transparency Data

CT scan, sinuses

Facility: HCA Florida Trinity Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $2,216
Cash Discount Price: $15,422
vs. Medicare Baseline: 20.75x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at HCA Florida Trinity Hospital is $2,216. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,422. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 20.75x the Medicare baseline. Located in 9330 Sr 54, Trinity, FL.

Cash / Self-Pay

$15,422

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,216

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: $15,422 (14439%)

Insurance Median: $2,216 (2075%)

Cash: $15,422 (14439% of Medicare)

Ins. Median: $2,216 (2075% 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 2075% of the Medicare baseline (a markup of 1975%). 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 - $6,940	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$725	679%
Avmed	$738 - $1,863	691%
Aetna	$757 - $4,627	709%
Access 2 Healthcare Physicians Freedom Health	$1,110	1039%
Access 2 Healthcare Physicians Optimum	$1,110	1039%
Freedom Health Care	$1,203	1126%
Optimum Healthcare	$1,203	1126%
Corvel Corporation	$2,015	1887%
Rockport Healthcare Group	$2,015	1887%
Prime Health	$2,057	1926%
Simply Healthcare	$2,375	2224%
Molina	$2,930 - $4,164	2743%
Sunshine State Health Plan	$3,933	3682%
Beacon Health Options	$7,711	7219%
Plotkin Health	$7,711	7219%
Prime Health Sheriff	$7,711	7219%
Evolutions Healthcare Systems	$9,253 - $14,188	8663%
Multiplan	$11,567 - $13,109	10830%
Evernorth	$12,338	11551%

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 $15,422.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70486.

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 70486.
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.