CMS Price Transparency Data

CT scan, sinuses

Facility: HCA Florida Fawcett Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $1,993
Cash Discount Price: $17,230
vs. Medicare Baseline: 18.66x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at HCA Florida Fawcett Hospital is $1,993. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,230. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.66x the Medicare baseline. Located in 21298 Olean Blvd, Port Charlotte, FL.

Cash / Self-Pay

$17,230

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,993

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: $17,230 (16131%)

Insurance Median: $1,993 (1866%)

Cash: $17,230 (16131% of Medicare)

Ins. Median: $1,993 (1866% 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 1866% of the Medicare baseline (a markup of 1766%). 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 - $7,754	229%
Avmed	$738 - $1,863	691%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$810	758%
Aetna	$848 - $5,169	794%
Access 2 Healthcare Physicians Freedom Health	$1,241	1162%
Access 2 Healthcare Physicians Optimum	$1,241	1162%
Freedom Health Care	$1,344	1258%
Optimum Healthcare	$1,344	1258%
Corvel Corporation	$1,952	1828%
Rockport Healthcare Group	$1,952	1828%
Prime Health	$1,993	1866%
Simply Healthcare	$2,653	2484%
Molina	$3,274 - $4,652	3065%
Sunshine State Health Plan	$4,394	4114%
Behealthy America	$6,720	6292%
Evolutions Healthcare Systems	$8,615 - $15,852	8066%
Plotkin Health	$8,615	8066%
Prime Health Sheriff	$8,615	8066%
Multiplan	$12,923 - $14,646	12099%

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 $17,230.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70486.

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 70486.
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.