CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Florida Kendall Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $4,521
Cash Discount Price: $18,192
vs. Medicare Baseline: 25.23x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Florida Kendall Hospital is $4,521. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18,192. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 25.23x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.

Cash / Self-Pay

$18,192

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,521

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: $18,192 (10152%)

Insurance Median: $4,521 (2523%)

Cash: $18,192 (10152% of Medicare)

Ins. Median: $4,521 (2523% 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 2523% of the Medicare baseline (a markup of 2423%). 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 - $8,186	224%
Aetna	$809 - $5,458	451%
Avmed	$845 - $9,096	472%
Freedom Health	$1,565 - $2,911	873%
Optimum	$1,565	873%
Simply Healthcare Plans	$2,365	1320%
Molina	$3,456 - $4,912	1929%
Corvel Corporation	$3,590	2003%
Careworks (Rockport)	$3,665	2045%
Prime Health	$3,665	2045%
Health Sun Health Plan	$3,875	2162%
Aids Healthcare	$4,002 - $21,830	2233%
Mmm Of Fl (Health Advantage Plan)	$4,184	2335%
United Ppo	$4,312	2406%
Sunshine State Health Plan	$4,730	2640%
Plotkin Health	$9,096	5076%
Prime Health Sherriff	$9,096	5076%
Medica Healthcare	$10,551	5888%
Multiplan	$13,644 - $15,463	7614%
Evernorth Bh	$14,554	8122%

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 $18,192.
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 Kendall 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.