CMS Price Transparency Data

CT scan, sinuses

Facility: HCA Florida Capital Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $3,076
Cash Discount Price: $6,168
vs. Medicare Baseline: 28.80x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at HCA Florida Capital Hospital is $3,076. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,168. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 28.80x the Medicare baseline. Located in 2626 Capital Medical Blvd, Tallahassee, FL.

Cash / Self-Pay

$6,168

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,076

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: $6,168 (5775%)

Insurance Median: $3,076 (2880%)

Cash: $6,168 (5775% of Medicare)

Ins. Median: $3,076 (2880% 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 2880% of the Medicare baseline (a markup of 2780%). 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 - $4,313	229%
Simply	$897 - $1,476	840%
Molina Healthcare	$1,106 - $3,067	1035%
Aetna	$1,258 - $2,875	1178%
Sunshine State Health Plan	$1,485 - $2,444	1390%
Avmed	$1,695 - $4,792	1587%
Corvel Corporation	$1,846	1728%
Prime Health	$1,885	1765%
Careworks (Rockport Community)	$1,944	1820%
Plotkin Health	$2,911 - $4,792	2725%
Prime Health Sheriff	$2,911 - $4,792	2725%
Multiplan	$4,541 - $8,147	4251%
Evernorth	$4,657 - $7,667	4360%
Evolutions Healthcare	$4,949 - $8,147	4633%
Ppo Next	$4,949 - $8,147	4633%
Novanet	$5,240 - $8,626	4906%
Beacon Health Options	$5,822 - $9,584	5451%

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 $6,168.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70486.

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 70486.
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.