CMS Price Transparency Data

CT scan, head (no contrast)

Facility: HCA Florida Capital Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $4,011
Cash Discount Price: $8,499
vs. Medicare Baseline: 37.55x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at HCA Florida Capital Hospital is $4,011. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,499. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 37.55x the Medicare baseline. Located in 2626 Capital Medical Blvd, Tallahassee, FL.

Cash / Self-Pay

$8,499

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,011

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: $8,499 (7957%)

Insurance Median: $4,011 (3755%)

Cash: $8,499 (7957% of Medicare)

Ins. Median: $4,011 (3755% 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 3755% of the Medicare baseline (a markup of 3655%). 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 - $4,040	229%
Simply	$1,235 - $1,383	1156%
Aetna	$1,258 - $2,693	1178%
Molina Healthcare	$1,524 - $2,873	1427%
Avmed	$1,695 - $4,489	1587%
Corvel Corporation	$1,901	1780%
Prime Health	$1,941	1817%
Careworks (Rockport Community)	$2,001	1873%
Sunshine State Health Plan	$2,045 - $2,289	1915%
Plotkin Health	$4,011 - $4,489	3755%
Prime Health Sheriff	$4,011 - $4,489	3755%
Multiplan	$6,256 - $7,631	5857%
Evernorth	$6,417 - $7,182	6008%
Evolutions Healthcare	$6,818 - $7,631	6383%
Ppo Next	$6,818 - $7,631	6383%
Novanet	$7,219 - $8,080	6759%
Beacon Health Options	$8,021 - $8,978	7510%

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 $8,499.
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 Capital 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.