CMS Price Transparency Data

CT scan, sinuses

Facility: HCA Florida Bayonet Point Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $2,036
Cash Discount Price: $19,030
vs. Medicare Baseline: 19.06x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at HCA Florida Bayonet Point Hospital is $2,036. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19,030. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.06x the Medicare baseline. Located in 14000 Fivay Rd, Hudson, FL.

Cash / Self-Pay

$19,030

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,036

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: $19,030 (17817%)

Insurance Median: $2,036 (1906%)

Cash: $19,030 (17817% of Medicare)

Ins. Median: $2,036 (1906% 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 1906% of the Medicare baseline (a markup of 1806%). 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 - $8,563	229%
Avmed	$738 - $1,863	691%
Aetna	$757 - $5,709	709%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$894	837%
Access 2 Healthcare Physicians Freedom Health	$1,370	1283%
Access 2 Healthcare Physicians Optimum	$1,370	1283%
Freedom Health Care	$1,484	1389%
Optimum Healthcare	$1,484	1389%
Corvel Corporation	$2,015	1887%
Rockport Healthcare Group	$2,015	1887%
Prime Health	$2,057	1926%
Simply Healthcare	$2,931	2744%
Molina	$3,616 - $5,138	3385%
Sunshine State Health Plan	$4,853	4544%
Plotkin Health	$9,515	8908%
Prime Health Sheriff	$9,515	8908%
Evolutions Healthcare Systems	$11,418 - $17,507	10690%
Multiplan	$14,272 - $16,175	13362%

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 $19,030.
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 Bayonet Point 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.