CMS Price Transparency Data

CT scan, sinuses

Facility: HCA Florida Largo Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $1,685
Cash Discount Price: $6,196
vs. Medicare Baseline: 15.78x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at HCA Florida Largo Hospital is $1,685. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,196. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.78x the Medicare baseline. Located in 201 14Th St Sw, Largo, FL.

Cash / Self-Pay

$6,196

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,685

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $6,196 (5801%)

Insurance Median: $1,685 (1578%)

Cash: $6,196 (5801% of Medicare)

Ins. Median: $1,685 (1578% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1578% of the Medicare baseline (a markup of 1478%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$158 - $424	148%
Aetna	$233 - $2,706	218%
Access 2 Healthcare Physicians Freedom Health	$243 - $650	228%
Access 2 Healthcare Physicians Optimum	$243 - $650	228%
United	$245 - $4,059	229%
Freedom Health Care	$263 - $704	246%
Optimum Healthcare	$263 - $704	246%
Simply Healthcare	$519 - $1,389	486%
Molina	$640 - $2,436	599%
Avmed	$738 - $1,863	691%
Sunshine State Health Plan	$859 - $2,300	804%
Beacon Health Options	$1,685 - $4,510	1578%
Plotkin Health	$1,685 - $4,510	1578%
Prime Health Sheriff	$1,685 - $4,510	1578%
Evolutions Healthcare Systems	$1,854 - $8,299	1736%
Corvel Corporation	$2,015	1887%
Rockport Healthcare Group	$2,015	1887%
Prime Health	$2,057	1926%
Multiplan	$2,528 - $7,668	2367%
Evernorth	$2,696 - $7,217	2524%
Emerging Therapy Solutions	$6,044	5659%
UnitedHealthcare	$9,021	8446%

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 $6,196.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70486.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Largo Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70486.
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.