CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Florida Raulerson Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $3,163
  • Cash Discount Price: $8,484
  • vs. Medicare Baseline: 17.65x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Florida Raulerson Hospital is $3,163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,484. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 17.65x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
$8,484

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,163

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: $8,484 (4734%)
Insurance Median: $3,163 (1765%)
Cash: $8,484 (4734% of Medicare)
Ins. Median: $3,163 (1765% 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 1765% of the Medicare baseline (a markup of 1665%). 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 - $3,818 224%
Freedom Health $730 407%
Optimum $730 407%
Avmed $890 - $4,242 497%
Aetna $1,087 - $2,545 607%
Simply Healthcare Plans $1,103 616%
Molina $1,612 - $2,291 900%
Health Sun Health Plan $1,807 1008%
Sunshine State Health Plan $2,163 1207%
Corvel Corporation $3,098 1729%
Careworks (Rockport) $3,163 1765%
Prime Health $3,163 1765%
United Ppo $3,733 2083%
Plotkin Health $4,242 2367%
Prime Health Sherriff $4,242 2367%
Multiplan $6,363 - $7,211 3551%

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