CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: HCA Florida Poinciana Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $6,899
  • Cash Discount Price: $21,901
  • vs. Medicare Baseline: 64.59x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at HCA Florida Poinciana Hospital is $6,899. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21,901. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 64.59x the Medicare baseline. Located in 325 Cypress Pkwy, Kissimmee, FL.
Cash / Self-Pay
$21,901

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,899

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: $21,901 (20505%)
Insurance Median: $6,899 (6459%)
Cash: $21,901 (20505% of Medicare)
Ins. Median: $6,899 (6459% 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 6459% of the Medicare baseline (a markup of 6359%). 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 $245 - $10,348 229%
Avmed $887 - $11,498 830%
Aetna $1,186 - $6,899 1110%
Freedom Health $1,529 - $1,656 1432%
Optimum $1,529 - $1,656 1432%
Corvel Corporation $2,110 1975%
Prime Health $2,154 2017%
Careworks (Rockport Community) $2,221 2079%
Simply $3,271 - $3,541 3062%
Molina Healthcare $4,036 - $6,209 3779%
Sunshine State Health Plan $5,417 - $5,864 5072%
Plotkin Health $10,621 - $11,498 9944%
Prime Health Sheriff $10,621 - $11,498 9944%
Multiplan $15,931 - $19,546 14915%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 325 Cypress Pkwy, Kissimmee, FL 34758
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals