CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: HCA Florida Fawcett Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $2,116
Cash Discount Price: $17,651
vs. Medicare Baseline: 19.81x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at HCA Florida Fawcett Hospital is $2,116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,651. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.81x the Medicare baseline. Located in 21298 Olean Blvd, Port Charlotte, FL.

Cash / Self-Pay

$17,651

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,116

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: $17,651 (16526%)

Insurance Median: $2,116 (1981%)

Cash: $17,651 (16526% of Medicare)

Ins. Median: $2,116 (1981% 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 1981% of the Medicare baseline (a markup of 1881%). 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 - $7,943	229%
Avmed	$738 - $1,863	691%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$830	777%
Aetna	$848 - $5,295	794%
Access 2 Healthcare Physicians Freedom Health	$1,271	1190%
Access 2 Healthcare Physicians Optimum	$1,271	1190%
Freedom Health Care	$1,377	1289%
Optimum Healthcare	$1,377	1289%
Corvel Corporation	$2,072	1940%
Rockport Healthcare Group	$2,072	1940%
Prime Health	$2,116	1981%
Simply Healthcare	$2,718	2545%
Molina	$3,354 - $4,766	3140%
Sunshine State Health Plan	$4,501	4214%
Behealthy America	$6,884	6445%
Evolutions Healthcare Systems	$8,825 - $16,239	8262%
Plotkin Health	$8,825	8262%
Prime Health Sheriff	$8,825	8262%
Multiplan	$13,238 - $15,003	12394%

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 $17,651.
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 Fawcett 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.