CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Florida Oak Hill Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $2,784
Cash Discount Price: $15,728
vs. Medicare Baseline: 15.54x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Florida Oak Hill Hospital is $2,784. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,728. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 15.54x the Medicare baseline. Located in 11375 Cortez Blvd, Brooksville, FL.

Cash / Self-Pay

$15,728

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,784

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: $15,728 (8777%)

Insurance Median: $2,784 (1554%)

Cash: $15,728 (8777% of Medicare)

Ins. Median: $2,784 (1554% 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 1554% of the Medicare baseline (a markup of 1454%). 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 - $7,078	224%
Avmed	$738 - $1,863	412%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$739	412%
Aetna	$757 - $4,718	422%
Access 2 Healthcare Physicians Freedom Health	$1,132	632%
Access 2 Healthcare Physicians Optimum	$1,132	632%
Freedom Health Care	$1,227	685%
Optimum Healthcare	$1,227	685%
Simply Healthcare	$2,422	1352%
Molina	$2,988 - $4,247	1667%
Corvel Corporation	$3,342	1865%
Rockport Healthcare Group	$3,342	1865%
Prime Health	$3,413	1905%
Sunshine State Health Plan	$4,011	2238%
Plotkin Health	$7,864	4388%
Prime Health Sheriff	$7,864	4388%
Evolutions Healthcare Systems	$9,437 - $14,470	5266%
Multiplan	$11,796 - $13,369	6583%

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 $15,728.
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 Oak Hill 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.