CMS Price Transparency Data

CT scan, sinuses

Facility: HCA Florida Oak Hill Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $2,036
Cash Discount Price: $15,542
vs. Medicare Baseline: 19.06x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at HCA Florida Oak Hill Hospital is $2,036. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,542. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.06x the Medicare baseline. Located in 11375 Cortez Blvd, Brooksville, FL.

Cash / Self-Pay

$15,542

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: $15,542 (14551%)

Insurance Median: $2,036 (1906%)

Cash: $15,542 (14551% 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 - $6,994	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$730	683%
Avmed	$738 - $1,863	691%
Aetna	$757 - $4,663	709%
Access 2 Healthcare Physicians Freedom Health	$1,119	1048%
Access 2 Healthcare Physicians Optimum	$1,119	1048%
Freedom Health Care	$1,212	1135%
Optimum Healthcare	$1,212	1135%
Corvel Corporation	$2,015	1887%
Rockport Healthcare Group	$2,015	1887%
Prime Health	$2,057	1926%
Simply Healthcare	$2,393	2240%
Molina	$2,953 - $4,196	2765%
Sunshine State Health Plan	$3,963	3710%
Plotkin Health	$7,771	7276%
Prime Health Sheriff	$7,771	7276%
Evolutions Healthcare Systems	$9,325 - $14,299	8730%
Multiplan	$11,656 - $13,211	10913%

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 $15,542.
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 Oak Hill 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.