CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Florida Orange Park Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $5,143
Cash Discount Price: $17,068
vs. Medicare Baseline: 28.70x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Florida Orange Park Hospital is $5,143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,068. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 28.70x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.

Cash / Self-Pay

$17,068

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,143

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: $17,068 (9525%)

Insurance Median: $5,143 (2870%)

Cash: $17,068 (9525% of Medicare)

Ins. Median: $5,143 (2870% 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 2870% of the Medicare baseline (a markup of 2770%). 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 - $7,715	224%
Aetna	$716 - $5,143	400%
Avmed	$825 - $1,863	460%
Optimum Healthcare	$1,427 - $1,440	796%
Simply Healthcare	$2,617 - $2,640	1460%
Corvel Corporation	$3,292	1837%
Prime Health	$3,362	1876%
Positive Healthcare	$3,738 - $3,772	2086%
Sunshine State Health Plan	$4,333 - $4,372	2418%
Molina Healthcare	$4,588 - $4,629	2560%
Medicare (plans)	$7,647 - $7,715	4267%
Plotkin Health	$8,496 - $8,572	4741%
Multiplan	$13,254 - $14,572	7396%
Evernorth	$13,594 - $13,715	7586%
Evolutions Healthcare	$13,594 - $14,572	7586%
Ppo Next	$14,444 - $14,572	8060%
Novanet	$15,294 - $15,429	8535%

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 $17,068.
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 Orange Park 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.