CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: HCA Florida Putnam Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $2,292
Cash Discount Price: $9,792
vs. Medicare Baseline: 21.46x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at HCA Florida Putnam Hospital is $2,292. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,792. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 21.46x the Medicare baseline. Located in 611 Zeagler Dr, Palatka, FL.

Cash / Self-Pay

$9,792

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,292

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: $9,792 (9168%)

Insurance Median: $2,292 (2146%)

Cash: $9,792 (9168% of Medicare)

Ins. Median: $2,292 (2146% 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 2146% of the Medicare baseline (a markup of 2046%). 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 - $4,406	229%
Aetna	$968 - $2,938	906%
Simply	$1,508	1412%
Avmed	$1,695 - $4,896	1587%
Molina Healthcare	$1,860 - $3,133	1741%
Corvel Corporation	$1,982	1856%
Prime Health	$2,024	1895%
Careworks (Rockport Community)	$2,087	1954%
Sunshine State Health Plan	$2,497	2338%
Plotkin Health	$4,896	4584%
Prime Health Sheriff	$4,896	4584%
Multiplan	$7,638 - $8,323	7151%

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 $9,792.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Putnam Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71250.
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.