CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Florida Brandon Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $3,021
Cash Discount Price: $14,205
vs. Medicare Baseline: 16.86x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Florida Brandon Hospital is $3,021. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,205. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 16.86x the Medicare baseline. Located in 119 Oakfield Dr, Brandon, FL.

Cash / Self-Pay

$14,205

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,021

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: $14,205 (7927%)

Insurance Median: $3,021 (1686%)

Cash: $14,205 (7927% of Medicare)

Ins. Median: $3,021 (1686% 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 1686% of the Medicare baseline (a markup of 1586%). 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 - $6,392	224%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$668	373%
Avmed	$738 - $1,863	412%
Aetna	$913 - $4,262	509%
Access 2 Healthcare Physicians Freedom Health	$1,023	571%
Access 2 Healthcare Physicians Optimum	$1,023	571%
Freedom Health Care	$1,108	618%
Optimum Healthcare	$1,108	618%
Simply Healthcare	$2,188	1221%
Molina	$2,699 - $3,835	1506%
Corvel Corporation	$3,342	1865%
Rockport Healthcare Group	$3,342	1865%
Prime Health	$3,413	1905%
Sunshine State Health Plan	$3,622	2021%
Beacon Health Options	$7,102	3963%
Plotkin Health	$7,102	3963%
Prime Health Sheriff	$7,102	3963%
Evolutions Healthcare Systems	$8,523 - $13,069	4756%
Multiplan	$10,654 - $12,074	5945%
Evernorth	$11,364	6342%

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 $14,205.
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 Brandon 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.