CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Florida Gulf Coast Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $6,041
  • Cash Discount Price: $13,425
  • vs. Medicare Baseline: 33.71x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Florida Gulf Coast Hospital is $6,041. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,425. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 33.71x the Medicare baseline. Located in 449 W 23Rd St, Panama City, FL.
Cash / Self-Pay
$13,425

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,041

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: $13,425 (7492%)
Insurance Median: $6,041 (3371%)
Cash: $13,425 (7492% of Medicare)
Ins. Median: $6,041 (3371% 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 3371% of the Medicare baseline (a markup of 3271%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 - $6,063 224%
Aetna $1,258 - $4,042 702%
Avmed $1,695 - $6,737 946%
Simply $2,063 - $2,075 1151%
Molina Healthcare $2,545 - $4,311 1420%
Corvel Corporation $2,595 1448%
Prime Health $2,650 1479%
Careworks (Rockport Community) $2,732 1525%
Sunshine State Health Plan $3,416 - $3,436 1906%
Plotkin Health $6,698 - $6,737 3738%
Prime Health Sheriff $6,698 - $6,737 3738%
Multiplan $10,449 - $11,452 5831%
Ppo Next $11,387 - $11,452 6354%
Novanet $12,057 - $12,126 6728%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 449 W 23Rd St, Panama City, FL 32405
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals