CMS Price Transparency Data

CT scan, sinuses

Facility: HCA Florida South Tampa Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $2,015
Cash Discount Price: $10,793
vs. Medicare Baseline: 18.87x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at HCA Florida South Tampa Hospital is $2,015. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,793. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.87x the Medicare baseline. Located in 2901 W Swann Ave, Tampa, FL.

Cash / Self-Pay

$10,793

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,015

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: $10,793 (10105%)

Insurance Median: $2,015 (1887%)

Cash: $10,793 (10105% of Medicare)

Ins. Median: $2,015 (1887% 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 1887% of the Medicare baseline (a markup of 1787%). 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 - $4,857	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$507	475%
Avmed	$738 - $1,863	691%
Access 2 Healthcare Physicians Freedom Health	$777	727%
Access 2 Healthcare Physicians Optimum	$777	727%
Freedom Health Care	$842	788%
Optimum Healthcare	$842	788%
Aetna	$913 - $3,238	855%
Simply Healthcare	$1,662	1556%
Corvel Corporation	$2,015	1887%
Rockport Healthcare Group	$2,015	1887%
Molina	$2,051 - $2,914	1920%
Prime Health	$2,057	1926%
Sunshine State Health Plan	$2,752	2577%
Beacon Health Options	$5,397	5053%
Evolutions Healthcare Systems	$5,397 - $9,930	5053%
Plotkin Health	$5,397	5053%
Prime Health Sheriff	$5,397	5053%
Multiplan	$8,095 - $9,174	7579%
Evernorth	$8,635	8084%

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 $10,793.
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 South Tampa 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.