CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: HCA Florida Palms West Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $2,294
Cash Discount Price: $14,112
vs. Medicare Baseline: 21.48x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at HCA Florida Palms West Hospital is $2,294. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,112. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 21.48x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.

Cash / Self-Pay

$14,112

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,294

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: $14,112 (13212%)

Insurance Median: $2,294 (2148%)

Cash: $14,112 (13212% of Medicare)

Ins. Median: $2,294 (2148% 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 2148% of the Medicare baseline (a markup of 2048%). 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 - $6,350	229%
Healthy Palm Beaches	$550	515%
Aetna	$868 - $4,234	813%
Avmed	$890 - $7,056	833%
Freedom Health	$1,214 - $2,258	1137%
Optimum	$1,214	1137%
Simply Healthcare Plans	$1,835	1718%
Corvel Corporation	$2,212	2071%
Careworks (Rockport)	$2,258	2114%
Prime Health	$2,258	2114%
Molina	$2,681 - $3,810	2510%
Health Sun Health Plan	$3,006	2814%
Aids Healthcare	$3,105 - $16,934	2907%
Mmm Of Fl (Health Advantage Plan)	$3,246	3039%
United Ppo	$3,345	3132%
Sunshine State Health Plan	$3,669	3435%
Health Care District	$7,056	6606%
Palm Beach Juvenile Correction	$7,056	6606%
Plotkin Health	$7,056	6606%
Prime Health Sherriff	$7,056	6606%
Medica Healthcare	$8,185	7663%
Multiplan	$10,584 - $11,995	9909%

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 $14,112.
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 Palms West 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.