CPT71260

CT Chest With Contrast Cost in Florida

Ct thorax dx c+

$346Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Florida Medicare physician rate (2026)

+2.0% vs national

Average of 3 localities. Office range $162.64–$176.43.

Florida (Hospital)
$169.94
Facility physician fee
Private plan est.
$221–$340
~130–200% of Medicare
Cash / self-pay est.
$136–$255
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Surgery centre, total
$264
$167 physician + $97 facility
Physician fee alone
$167
Only 48% of the hospital total

Choosing a surgery centre over a hospital saves about $82 on the Medicare allowed amount for ct chest with contrast. Ask whether your procedure can be done at an ambulatory surgery centre.

Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Florida

Because Florida uses multiple localities, check your ZIP code specifically, whether you are in Miami, Fort Lauderdale, West Palm Beach, Orlando, Tampa Bay, Jacksonville, or the Panhandle.

What ct chest with contrast costs at hospitals near you

Everything above is a national average. The hospital you pick in Florida moves the bill more than anything else you control.

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Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.

National vs Florida

National office$166.67
National hospital (physician)$166.67
Florida vs nationalwithin 2% of the national office rate of $166.67

Where Florida ranks for this CPT

Rank (lowest physician fee first)#38 of 51
Lowest stateArkansas ($147.46)
Highest stateAlaska ($192.38)

CPT 71260 by Florida locality

LocalityOffice
miami$176.43
fort lauderdale$170.74
rest of florida$162.64

PE GPCI ranges from 0.956 to 1.041 in Florida. That index is why the same CPT is not one price statewide.

CT Chest With Contrast and how Florida is priced

Florida is split into a handful of Medicare payment localities rather than priced statewide: Miami carries its own high-cost locality, the Fort Lauderdale area is separately priced, and the remainder of the state, from Jacksonville to the Panhandle, shares rest-of-state pricing. That structure means South Florida procedures carry higher Medicare-approved amounts than identical care in Orlando, Tampa, or rural North Florida. The Miami locality in particular ranks among the more expensive in the eastern United States. For a state with this many Medicare beneficiaries, knowing which locality your ZIP falls in is genuinely useful.

Florida has the nation's most Medicare-driven health economy, and its markets are intensely competitive in the big retiree corridors along both coasts. South Florida is known for high utilization and a dense supply of specialists, while inland and Panhandle counties can be thin on subspecialty care. Seasonal residents should note that prices follow where care is delivered, so a winter procedure in Naples prices differently than one back home up north.

This procedure: A chest CT with contrast adds an IV injection of iodine dye during the scan to light up blood vessels, lymph nodes, and masses in the chest. It is preferred when evaluating enlarged lymph nodes, suspected cancer spread, or vascular structures. The scan itself takes under a minute; the appointment runs about 30 minutes including IV placement, and the dye causes a brief warm flush that patients often feel in odd places.

What Is CT Chest With Contrast?

A chest CT with contrast adds an IV injection of iodine dye during the scan to light up blood vessels, lymph nodes, and masses in the chest. It is preferred when evaluating enlarged lymph nodes, suspected cancer spread, or vascular structures. The scan itself takes under a minute; the appointment runs about 30 minutes including IV placement, and the dye causes a brief warm flush that patients often feel in odd places.

What Affects the Cost

  • The iodinated contrast is a separate supply charge on top of the scan fee.
  • A kidney function blood test may be required before contrast in older patients or those with kidney risk, adding a lab charge.
  • Hospital versus freestanding center pricing gaps for contrast CT are just as wide as for any advanced imaging.
  • Patients with prior contrast reactions may need pre-medication protocols or an alternative study, changing the cost picture.
  • The radiologist's fee for a contrast-enhanced study runs higher than for the plain version.

Questions to Ask Before Booking

  • 1.Does my authorization specify a contrast-enhanced chest CT?
  • 2.Will I need a kidney function test first, and is that billed to me?
  • 3.How much is the contrast agent itself on your bills?
  • 4.What is the global price at a freestanding imaging center?
  • 5.If I react to dye or my kidneys disqualify me, what happens to the study and the charges?

CT Chest With Contrast in Florida: questions

The 2026 Medicare physician office rate for CPT 71260 averages $169.94 across 3 Florida localities, from $162.64 in REST OF FLORIDA to $176.43 in MIAMI. The hospital physician rate averages $169.94. Enter a ZIP for the exact locality.

Yes. CMS splits Florida into 3 payment localities. For this CPT the office physician fee spans $13.79 from the lowest to highest locality. Because Florida uses multiple localities, check your ZIP code specifically, whether you are in Miami, Fort Lauderdale, West Palm Beach, Orlando, Tampa Bay, Jacksonville, or the Panhandle.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $34 for the office physician line or $34 for the hospital physician line in Florida. Medigap may cover that 20%. This is not the hospital facility fee.

No. $169.94 is only the physician's share. Adding Medicare's facility payment brings the total to about $346 in a hospital outpatient department, or about $264 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Florida ranks #38 of 51 states on the physician line (within 2% of the national office rate of $166.67).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.