CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Florida Raulerson Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $2,702
  • Cash Discount Price: $9,091
  • vs. Medicare Baseline: 15.08x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Florida Raulerson Hospital is $2,702. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,091. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 15.08x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
$9,091

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,702

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: $9,091 (5073%)
Insurance Median: $2,702 (1508%)
Cash: $9,091 (5073% of Medicare)
Ins. Median: $2,702 (1508% 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 1508% of the Medicare baseline (a markup of 1408%). 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
United $402 - $4,091 224%
Freedom Health $782 436%
Optimum $782 436%
Avmed $890 - $4,546 497%
Aetna $1,087 - $2,727 607%
Simply Healthcare Plans $1,182 660%
Molina $1,727 - $2,455 964%
Health Sun Health Plan $1,936 1080%
Sunshine State Health Plan $2,318 1294%
Corvel Corporation $2,621 1463%
Careworks (Rockport) $2,676 1493%
Prime Health $2,676 1493%
United Ppo $4,000 2232%
Plotkin Health $4,546 2537%
Prime Health Sherriff $4,546 2537%
Multiplan $6,818 - $7,727 3805%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1796 Hwy 441 North, Okeechobee, FL 34972
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals