CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Florida Fawcett Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $3,156
Cash Discount Price: $16,609
vs. Medicare Baseline: 17.61x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Florida Fawcett Hospital is $3,156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,609. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 17.61x the Medicare baseline. Located in 21298 Olean Blvd, Port Charlotte, FL.

Cash / Self-Pay

$16,609

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,156

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: $16,609 (9268%)

Insurance Median: $3,156 (1761%)

Cash: $16,609 (9268% of Medicare)

Ins. Median: $3,156 (1761% 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 1761% of the Medicare baseline (a markup of 1661%). 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 - $7,474	224%
Avmed	$738 - $1,863	412%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$781	436%
Aetna	$848 - $4,983	473%
Access 2 Healthcare Physicians Freedom Health	$1,196	667%
Access 2 Healthcare Physicians Optimum	$1,196	667%
Freedom Health Care	$1,295	723%
Optimum Healthcare	$1,295	723%
Simply Healthcare	$2,558	1427%
Molina	$3,156 - $4,484	1761%
Corvel Corporation	$3,239	1807%
Rockport Healthcare Group	$3,239	1807%
Prime Health	$3,307	1845%
Sunshine State Health Plan	$4,235	2363%
Behealthy America	$6,477	3614%
Evolutions Healthcare Systems	$8,304 - $15,280	4634%
Plotkin Health	$8,304	4634%
Prime Health Sheriff	$8,304	4634%
Multiplan	$12,457 - $14,118	6951%

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 $16,609.
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 Fawcett 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.