CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Florida Kendall Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $4,733
Cash Discount Price: $19,048
vs. Medicare Baseline: 26.41x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Florida Kendall Hospital is $4,733. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19,048. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 26.41x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.

Cash / Self-Pay

$19,048

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,733

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: $19,048 (10629%)

Insurance Median: $4,733 (2641%)

Cash: $19,048 (10629% of Medicare)

Ins. Median: $4,733 (2641% 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 2641% of the Medicare baseline (a markup of 2541%). 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 - $8,572	224%
Aetna	$809 - $5,714	451%
Avmed	$845 - $9,524	472%
Freedom Health	$1,638 - $3,048	914%
Optimum	$1,638	914%
Simply Healthcare Plans	$2,476	1382%
Corvel Corporation	$3,037	1695%
Careworks (Rockport)	$3,101	1730%
Prime Health	$3,101	1730%
Molina	$3,619 - $5,143	2020%
Health Sun Health Plan	$4,057	2264%
Aids Healthcare	$4,191 - $22,858	2339%
Mmm Of Fl (Health Advantage Plan)	$4,381	2445%
United Ppo	$4,514	2519%
Sunshine State Health Plan	$4,952	2763%
Plotkin Health	$9,524	5315%
Prime Health Sherriff	$9,524	5315%
Medica Healthcare	$11,048	6165%
Multiplan	$14,286 - $16,191	7972%
Evernorth Bh	$15,238	8503%

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 $19,048.
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 Kendall 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.