CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Florida Lawnwood Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $3,533
  • Cash Discount Price: $20,426
  • vs. Medicare Baseline: 19.72x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Florida Lawnwood Hospital is $3,533. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20,426. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 19.72x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$20,426

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,533

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: $20,426 (11398%)
Insurance Median: $3,533 (1972%)
Cash: $20,426 (11398% of Medicare)
Ins. Median: $3,533 (1972% 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 1972% of the Medicare baseline (a markup of 1872%). 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 $128 - $16,037 71%
Pinnacol Workers Comp $283 158%
Multiplan $295 - $19,505 165%
United $304 - $9,752 170%
Rocky Mountain Health Plan $402 224%
Avmed $890 - $5,950 497%
Freedom Health $1,023 571%
Optimum $1,023 571%
Aetna $1,087 - $3,570 607%
Simply Healthcare Plans $1,547 863%
Molina $2,261 - $3,213 1262%
Health Sun Health Plan $2,535 1415%
Sunshine State Health Plan $3,035 1694%
Vail Health $3,105 - $3,294 1733%
Corvel Corporation $3,431 1915%
Careworks (Rockport) $3,503 1955%
Prime Health $3,503 - $19,505 1955%
Office Of Sheiff Highland Co $4,165 2324%
United Ppo $5,236 2922%
Plotkin Health $5,950 3320%
Prime Health Sherriff $5,950 3320%
Bright Health $6,128 - $6,502 3420%
Evernorth Bh $9,521 5313%
Cigna $13,073 - $13,870 7295%
Western Plains Community Health $13,277 - $14,087 7409%
Northcare $14,298 - $15,171 7979%
Physician Health Partners $14,298 - $15,171 7979%
Medical Development International $16,341 - $17,338 9119%

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