CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Florida Lawnwood Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $3,879
  • Cash Discount Price: $24,141
  • vs. Medicare Baseline: 21.65x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Florida Lawnwood Hospital is $3,879. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24,141. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 21.65x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$24,141

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,879

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: $24,141 (13472%)
Insurance Median: $3,879 (2165%)
Cash: $24,141 (13472% of Medicare)
Ins. Median: $3,879 (2165% 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 2165% of the Medicare baseline (a markup of 2065%). 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
Blue Cross Blue Shield $144 - $18,954 80%
Pinnacol Workers Comp $283 158%
Multiplan $295 - $23,052 165%
United $304 - $11,526 170%
Rocky Mountain Health Plan $402 224%
Avmed $890 - $6,846 497%
Aetna $1,087 - $4,108 607%
Freedom Health $1,178 657%
Optimum $1,178 657%
Simply Healthcare Plans $1,780 993%
Molina $2,601 - $3,697 1451%
Corvel Corporation $2,902 1619%
Health Sun Health Plan $2,916 1627%
Careworks (Rockport) $2,963 1653%
Prime Health $2,963 - $23,052 1653%
Sunshine State Health Plan $3,491 1948%
Vail Health $3,669 - $3,893 2047%
Office Of Sheiff Highland Co $4,792 2674%
United Ppo $6,024 3362%
Plotkin Health $6,846 3820%
Prime Health Sherriff $6,846 3820%
Bright Health $7,242 - $7,684 4041%
Evernorth Bh $10,954 6113%
Cigna $15,450 - $16,393 8622%
Western Plains Community Health $15,691 - $16,649 8756%
Northcare $16,898 - $17,929 9430%
Physician Health Partners $16,898 - $17,929 9430%
Medical Development International $19,312 - $20,491 10777%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals