CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Florida Capital Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $4,708
Cash Discount Price: $9,616
vs. Medicare Baseline: 26.27x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Florida Capital Hospital is $4,708. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,616. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 26.27x the Medicare baseline. Located in 2626 Capital Medical Blvd, Tallahassee, FL.

Cash / Self-Pay

$9,616

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,708

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: $9,616 (5366%)

Insurance Median: $4,708 (2627%)

Cash: $9,616 (5366% of Medicare)

Ins. Median: $4,708 (2627% 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 2627% of the Medicare baseline (a markup of 2527%). 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 - $4,417	224%
Aetna	$1,258 - $2,945	702%
Simply	$1,450 - $1,512	809%
Avmed	$1,695 - $4,908	946%
Molina Healthcare	$1,789 - $3,141	998%
Sunshine State Health Plan	$2,401 - $2,503	1340%
Corvel Corporation	$3,063	1709%
Prime Health	$3,128	1746%
Careworks (Rockport Community)	$3,224	1799%
Plotkin Health	$4,708 - $4,908	2627%
Prime Health Sheriff	$4,708 - $4,908	2627%
Multiplan	$7,344 - $8,343	4098%
Evernorth	$7,533 - $7,853	4204%
Evolutions Healthcare	$8,003 - $8,343	4466%
Ppo Next	$8,003 - $8,343	4466%
Novanet	$8,474 - $8,834	4729%
Beacon Health Options	$9,416 - $9,816	5254%

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 $9,616.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

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 70460.
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.