CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Florida Putnam Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $2,968
Cash Discount Price: $12,460
vs. Medicare Baseline: 16.56x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Florida Putnam Hospital is $2,968. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,460. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 16.56x the Medicare baseline. Located in 611 Zeagler Dr, Palatka, FL.

Cash / Self-Pay

$12,460

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,968

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: $12,460 (6953%)

Insurance Median: $2,968 (1656%)

Cash: $12,460 (6953% of Medicare)

Ins. Median: $2,968 (1656% 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 1656% of the Medicare baseline (a markup of 1556%). 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 - $5,607	224%
Aetna	$968 - $3,738	540%
Avmed	$1,695 - $6,230	946%
Simply	$1,919	1071%
Molina Healthcare	$2,367 - $3,987	1321%
Corvel Corporation	$2,621	1463%
Prime Health	$2,676	1493%
Careworks (Rockport Community)	$2,759	1540%
Sunshine State Health Plan	$3,177	1773%
Plotkin Health	$6,230	3477%
Prime Health Sheriff	$6,230	3477%
Multiplan	$9,719 - $10,591	5424%

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 $12,460.
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 Putnam 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.