CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Florida Englewood Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $2,903
Cash Discount Price: $15,279
vs. Medicare Baseline: 16.20x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Florida Englewood Hospital is $2,903. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,279. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 16.20x the Medicare baseline. Located in 700 Medical Blvd, Englewood, FL.

Cash / Self-Pay

$15,279

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,903

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: $15,279 (8526%)

Insurance Median: $2,903 (1620%)

Cash: $15,279 (8526% of Medicare)

Ins. Median: $2,903 (1620% 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 1620% of the Medicare baseline (a markup of 1520%). 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 - $6,876	224%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$718	401%
Avmed	$738 - $1,863	412%
Aetna	$848 - $4,584	473%
Access 2 Healthcare Physicians Freedom Health	$1,100	614%
Access 2 Healthcare Physicians Optimum	$1,100	614%
Freedom Health Care	$1,192	665%
Optimum Healthcare	$1,192	665%
Simply Healthcare	$2,353	1313%
Molina	$2,903 - $4,125	1620%
Corvel Corporation	$3,342	1865%
Rockport Healthcare Group	$3,342	1865%
Prime Health	$3,413	1905%
Sunshine State Health Plan	$3,896	2174%
Behealthy America	$5,959	3325%
Evolutions Healthcare Systems	$7,640 - $14,057	4263%
Plotkin Health	$7,640	4263%
Prime Health Sheriff	$7,640	4263%
Multiplan	$11,460 - $12,988	6395%

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 $15,279.
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 Englewood 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.