CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: HCA Florida South Shore Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $2,017
Cash Discount Price: $9,763
vs. Medicare Baseline: 18.88x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at HCA Florida South Shore Hospital is $2,017. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,763. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.88x the Medicare baseline. Located in 4016 Sun City Center Blvd, Sun City Center, FL.

Cash / Self-Pay

$9,763

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,017

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: $9,763 (9141%)

Insurance Median: $2,017 (1888%)

Cash: $9,763 (9141% of Medicare)

Ins. Median: $2,017 (1888% 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 1888% of the Medicare baseline (a markup of 1788%). 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 - $4,487	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$449 - $469	420%
Access 2 Healthcare Physicians Freedom Health	$688 - $718	644%
Access 2 Healthcare Physicians Optimum	$688 - $718	644%
Avmed	$738 - $1,863	691%
Freedom Health Care	$745 - $778	698%
Optimum Healthcare	$745 - $778	698%
Aetna	$913 - $2,991	855%
Simply Healthcare	$1,472 - $1,536	1378%
Molina	$1,815 - $2,692	1699%
Corvel Corporation	$2,138	2002%
Rockport Healthcare Group	$2,138	2002%
Prime Health	$2,184	2045%
Sunshine State Health Plan	$2,437 - $2,543	2282%
Plotkin Health	$4,778 - $4,986	4473%
Prime Health Sheriff	$4,778 - $4,986	4473%
Evolutions Healthcare Systems	$5,255 - $9,174	4920%
Multiplan	$7,166 - $8,476	6709%

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 $9,763.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida South Shore Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71250.
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.