CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Florida Palms West Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $2,955
  • Cash Discount Price: $15,133
  • vs. Medicare Baseline: 16.49x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Florida Palms West Hospital is $2,955. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,133. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 16.49x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.
Cash / Self-Pay
$15,133

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,955

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: $15,133 (8445%)
Insurance Median: $2,955 (1649%)
Cash: $15,133 (8445% of Medicare)
Ins. Median: $2,955 (1649% 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 1649% of the Medicare baseline (a markup of 1549%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 - $6,810 224%
Healthy Palm Beaches $550 307%
Aetna $868 - $4,540 484%
Avmed $890 - $7,566 497%
Freedom Health $1,301 - $2,421 726%
Optimum $1,301 726%
Simply Healthcare Plans $1,967 1098%
Molina $2,875 - $4,086 1604%
Corvel Corporation $2,925 1632%
Careworks (Rockport) $2,986 1666%
Prime Health $2,986 1666%
Health Sun Health Plan $3,223 1799%
Aids Healthcare $3,329 - $18,160 1858%
Mmm Of Fl (Health Advantage Plan) $3,481 1943%
United Ppo $3,587 2002%
Sunshine State Health Plan $3,935 2196%
Health Care District $7,566 4222%
Palm Beach Juvenile Correction $7,566 4222%
Plotkin Health $7,566 4222%
Prime Health Sherriff $7,566 4222%
Medica Healthcare $8,777 4898%
Multiplan $11,350 - $12,863 6334%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13001 Southern Blvd, Loxahatchee, FL 33470
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals