CMS Price Transparency Data

CT scan, head (no contrast)

Facility: HCA Florida Raulerson Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $2,321
Cash Discount Price: $8,145
vs. Medicare Baseline: 21.73x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at HCA Florida Raulerson Hospital is $2,321. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,145. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 21.73x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.

Cash / Self-Pay

$8,145

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,321

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: $8,145 (7626%)

Insurance Median: $2,321 (2173%)

Cash: $8,145 (7626% of Medicare)

Ins. Median: $2,321 (2173% 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 2173% of the Medicare baseline (a markup of 2073%). 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	$245 - $3,665	229%
Freedom Health	$700	655%
Optimum	$700	655%
Avmed	$890 - $4,072	833%
Simply Healthcare Plans	$1,059	991%
Aetna	$1,087 - $2,444	1018%
Molina	$1,548 - $2,199	1449%
Health Sun Health Plan	$1,735	1624%
Corvel Corporation	$1,923	1800%
Careworks (Rockport)	$1,963	1838%
Prime Health	$1,963	1838%
Sunshine State Health Plan	$2,077	1945%
United Ppo	$3,584	3355%
Plotkin Health	$4,072	3812%
Prime Health Sherriff	$4,072	3812%
Multiplan	$6,109 - $6,923	5720%

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 $8,145.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Raulerson Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.