CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Florida West Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $3,100
Cash Discount Price: $9,999
vs. Medicare Baseline: 17.30x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Florida West Hospital is $3,100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,999. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 17.30x the Medicare baseline. Located in 8383 N Davis Hwy, Pensacola, FL.

Cash / Self-Pay

$9,999

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,100

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: $9,999 (5580%)

Insurance Median: $3,100 (1730%)

Cash: $9,999 (5580% of Medicare)

Ins. Median: $3,100 (1730% 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 1730% of the Medicare baseline (a markup of 1630%). 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 - $4,500	224%
Aetna	$1,258 - $3,000	702%
Freedom Health	$1,270	709%
Simply	$1,540	859%
Avmed	$1,695 - $4,999	946%
Molina Healthcare	$1,900 - $3,200	1060%
Sunshine State Health Plan	$2,550	1423%
Corvel Corporation	$2,677	1494%
Prime Health	$2,734	1526%
Careworks (Rockport Community)	$2,818	1573%
Plotkin Health	$4,999	2790%
Prime Health Sheriff	$4,999	2790%
Evolutions Healthcare	$6,499 - $8,499	3627%
Multiplan	$7,799 - $8,499	4352%
Evernorth	$7,999	4464%
Ppo Next	$8,499	4743%
Novanet	$8,999	5022%
Beacon Health Options	$9,999	5580%

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 $9,999.
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 West 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.