CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: HCA Florida Capital Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $4,962
Cash Discount Price: $10,320
vs. Medicare Baseline: 46.46x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at HCA Florida Capital Hospital is $4,962. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,320. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 46.46x the Medicare baseline. Located in 2626 Capital Medical Blvd, Tallahassee, FL.

Cash / Self-Pay

$10,320

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,962

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: $10,320 (9662%)

Insurance Median: $4,962 (4646%)

Cash: $10,320 (9662% of Medicare)

Ins. Median: $4,962 (4646% 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 4646% of the Medicare baseline (a markup of 4546%). 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 - $4,822	229%
Aetna	$1,258 - $3,215	1178%
Simply	$1,528 - $1,650	1431%
Avmed	$1,695 - $5,358	1587%
Molina Healthcare	$1,886 - $3,429	1766%
Corvel Corporation	$1,960	1835%
Prime Health	$2,001	1873%
Careworks (Rockport Community)	$2,063	1931%
Sunshine State Health Plan	$2,531 - $2,732	2370%
Plotkin Health	$4,962 - $5,358	4646%
Prime Health Sheriff	$4,962 - $5,358	4646%
Multiplan	$7,741 - $9,108	7247%
Evernorth	$7,939 - $8,572	7433%
Evolutions Healthcare	$8,435 - $9,108	7897%
Ppo Next	$8,435 - $9,108	7897%
Novanet	$8,931 - $9,644	8362%
Beacon Health Options	$9,924 - $10,716	9291%

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 $10,320.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Capital Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71250.
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.