CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Florida Gulf Coast Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $4,842
  • Cash Discount Price: $11,122
  • vs. Medicare Baseline: 27.02x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Florida Gulf Coast Hospital is $4,842. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,122. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 27.02x the Medicare baseline. Located in 449 W 23Rd St, Panama City, FL.
Cash / Self-Pay
$11,122

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,842

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: $11,122 (6206%)
Insurance Median: $4,842 (2702%)
Cash: $11,122 (6206% of Medicare)
Ins. Median: $4,842 (2702% 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 2702% of the Medicare baseline (a markup of 2602%). 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 - $5,710 224%
Aetna $1,258 - $3,807 702%
Simply $1,491 - $1,954 832%
Avmed $1,695 - $6,345 946%
Molina Healthcare $1,840 - $4,061 1027%
Sunshine State Health Plan $2,470 - $3,236 1378%
Corvel Corporation $3,067 1711%
Prime Health $3,132 1748%
Careworks (Rockport Community) $3,229 1802%
Plotkin Health $4,842 - $6,345 2702%
Prime Health Sheriff $4,842 - $6,345 2702%
Multiplan $7,554 - $10,786 4215%
Ppo Next $8,232 - $10,786 4594%
Novanet $8,716 - $11,420 4864%

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