CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Florida Palms West Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $2,731
Cash Discount Price: $12,613
vs. Medicare Baseline: 15.24x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Florida Palms West Hospital is $2,731. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,613. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 15.24x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.

Cash / Self-Pay

$12,613

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,731

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: $12,613 (7039%)

Insurance Median: $2,731 (1524%)

Cash: $12,613 (7039% of Medicare)

Ins. Median: $2,731 (1524% 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 1524% of the Medicare baseline (a markup of 1424%). 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 - $5,676	224%
Healthy Palm Beaches	$550	307%
Aetna	$868 - $3,784	484%
Avmed	$890 - $6,306	497%
Freedom Health	$1,085 - $2,018	605%
Optimum	$1,085	605%
Simply Healthcare Plans	$1,640	915%
Molina	$2,396 - $3,406	1337%
Health Sun Health Plan	$2,687	1499%
Aids Healthcare	$2,775 - $15,136	1549%
Mmm Of Fl (Health Advantage Plan)	$2,901	1619%
United Ppo	$2,989	1668%
Sunshine State Health Plan	$3,279	1830%
Corvel Corporation	$3,457	1929%
Careworks (Rockport)	$3,530	1970%
Prime Health	$3,530	1970%
Health Care District	$6,306	3519%
Palm Beach Juvenile Correction	$6,306	3519%
Plotkin Health	$6,306	3519%
Prime Health Sherriff	$6,306	3519%
Medica Healthcare	$7,316	4083%
Multiplan	$9,460 - $10,721	5279%

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 $12,613.
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 Palms West 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.