CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Florida Capital Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $6,060
Cash Discount Price: $12,612
vs. Medicare Baseline: 33.82x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Florida Capital Hospital is $6,060. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,612. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 33.82x the Medicare baseline. Located in 2626 Capital Medical Blvd, Tallahassee, FL.

Cash / Self-Pay

$12,612

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,060

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: $12,612 (7038%)

Insurance Median: $6,060 (3382%)

Cash: $12,612 (7038% of Medicare)

Ins. Median: $6,060 (3382% 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 3382% of the Medicare baseline (a markup of 3282%). 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	$402 - $5,896	224%
Aetna	$1,258 - $3,931	702%
Avmed	$1,695 - $6,552	946%
Simply	$1,867 - $2,018	1042%
Molina Healthcare	$2,303 - $4,193	1285%
Corvel Corporation	$2,591	1446%
Prime Health	$2,646	1477%
Careworks (Rockport Community)	$2,728	1522%
Sunshine State Health Plan	$3,091 - $3,341	1725%
Plotkin Health	$6,060 - $6,552	3382%
Prime Health Sheriff	$6,060 - $6,552	3382%
Multiplan	$9,454 - $11,138	5276%
Evernorth	$9,696 - $10,482	5411%
Evolutions Healthcare	$10,302 - $11,138	5749%
Ppo Next	$10,302 - $11,138	5749%
Novanet	$10,908 - $11,793	6087%
Beacon Health Options	$12,120 - $13,103	6763%

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 $12,612.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

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 70470.
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.