CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: HCA Florida Citrus Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $3,759
Cash Discount Price: $24,436
vs. Medicare Baseline: 15.42x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at HCA Florida Citrus Hospital is $3,759. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24,436. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 15.42x the Medicare baseline. Located in 502 W Highland Blvd, Inverness, FL.

Cash / Self-Pay

$24,436

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,759

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $24,436 (10024%)

Insurance Median: $3,759 (1542%)

Cash: $24,436 (10024% of Medicare)

Ins. Median: $3,759 (1542% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 1542% of the Medicare baseline (a markup of 1442%). 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	$518 - $10,996	212%
Avmed	$738 - $1,863	303%
Aetna	$757 - $7,331	311%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$1,148	471%
Access 2 Healthcare Physicians Freedom Health	$1,466	601%
Access 2 Healthcare Physicians Optimum	$1,466	601%
Freedom Health Care	$1,588	651%
Optimum Healthcare	$1,588	651%
Corvel Corporation	$3,681	1510%
Rockport Healthcare Group	$3,681	1510%
Prime Health	$3,759	1542%
Molina	$4,643 - $6,598	1905%
Sunshine State Health Plan	$6,231	2556%
Beacon Health Options	$12,218	5012%
Plotkin Health	$12,218	5012%
Prime Health Sheriff	$12,218	5012%
Evolutions Healthcare Systems	$14,661 - $22,481	6014%
Multiplan	$18,327 - $20,770	7518%
Evernorth	$19,549	8019%

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 $24,436.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Citrus Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.