CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Florida Englewood Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $2,887
Cash Discount Price: $23,370
vs. Medicare Baseline: 16.11x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Florida Englewood Hospital is $2,887. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23,370. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 16.11x the Medicare baseline. Located in 700 Medical Blvd, Englewood, FL.

Cash / Self-Pay

$23,370

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,887

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: $23,370 (13041%)

Insurance Median: $2,887 (1611%)

Cash: $23,370 (13041% of Medicare)

Ins. Median: $2,887 (1611% 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 1611% of the Medicare baseline (a markup of 1511%). 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 - $10,516	224%
Avmed	$738 - $1,863	412%
Aetna	$848 - $7,011	473%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$1,098	613%
Access 2 Healthcare Physicians Freedom Health	$1,683	939%
Access 2 Healthcare Physicians Optimum	$1,683	939%
Freedom Health Care	$1,823	1017%
Optimum Healthcare	$1,823	1017%
Corvel Corporation	$2,828	1578%
Rockport Healthcare Group	$2,828	1578%
Prime Health	$2,887	1611%
Simply Healthcare	$3,599	2008%
Molina	$4,440 - $6,310	2478%
Sunshine State Health Plan	$5,959	3325%
Behealthy America	$9,114	5086%
Evolutions Healthcare Systems	$11,685 - $21,500	6521%
Plotkin Health	$11,685	6521%
Prime Health Sheriff	$11,685	6521%
Multiplan	$17,527 - $19,864	9781%

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 $23,370.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Englewood Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.