CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Florida North Florida Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $4,925
Cash Discount Price: $15,886
vs. Medicare Baseline: 27.48x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Florida North Florida Hospital is $4,925. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,886. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 27.48x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.

Cash / Self-Pay

$15,886

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,925

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: $15,886 (8865%)

Insurance Median: $4,925 (2748%)

Cash: $15,886 (8865% of Medicare)

Ins. Median: $4,925 (2748% 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 2748% of the Medicare baseline (a markup of 2648%). 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 - $7,148	224%
Avmed	$857 - $7,943	478%
Aetna	$968 - $4,766	540%
Simply	$2,446	1365%
Molina Healthcare	$3,018 - $5,083	1684%
Corvel Corporation	$3,478	1941%
Prime Health	$3,551	1982%
Careworks (Rockport Community)	$3,661	2043%
Sunshine State Health Plan	$4,051	2261%
Plotkin Health	$7,943	4432%
Prime Health Sheriff	$7,943	4432%
Corizon Phs	$9,531	5319%
Multiplan	$12,391 - $13,503	6915%
Evernorth	$12,708	7092%
Evolutions Healthcare	$13,503	7535%
Ppo Next	$13,503	7535%
Novanet	$14,297	7978%
Beacon Health Options	$15,886	8865%

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 $15,886.
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 North Florida 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.