CMS Price Transparency Data

CT scan, sinuses

Facility: HCA Florida Blake Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $2,057
Cash Discount Price: $15,114
vs. Medicare Baseline: 19.26x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at HCA Florida Blake Hospital is $2,057. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,114. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.26x the Medicare baseline. Located in 2020 59Th St W, Bradenton, FL.

Cash / Self-Pay

$15,114

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,057

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: $15,114 (14150%)

Insurance Median: $2,057 (1926%)

Cash: $15,114 (14150% of Medicare)

Ins. Median: $2,057 (1926% 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 1926% of the Medicare baseline (a markup of 1826%). 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 - $6,801	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$710	665%
Avmed	$738 - $1,863	691%
Aetna	$848 - $4,534	794%
Access 2 Healthcare Physicians Freedom Health	$1,088	1019%
Access 2 Healthcare Physicians Optimum	$1,088	1019%
Freedom Health Care	$1,179	1104%
Optimum Healthcare	$1,179	1104%
Corvel Corporation	$2,015	1887%
Rockport Healthcare Group	$2,015	1887%
Prime Health	$2,057	1926%
Simply Healthcare	$2,569	2405%
Molina	$2,872 - $4,081	2689%
Sunshine State Health Plan	$3,854	3608%
Behealthy America	$5,895	5519%
Plotkin Health	$7,557	7075%
Prime Health Sheriff	$7,557	7075%
Evolutions Healthcare Systems	$9,069 - $13,905	8491%
Multiplan	$11,336 - $12,847	10613%

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 $15,114.
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 Blake 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.