CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Florida Citrus Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $4,369
  • Cash Discount Price: $26,992
  • vs. Medicare Baseline: 12.26x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Florida Citrus Hospital is $4,369. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26,992. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 12.26x the Medicare baseline. Located in 502 W Highland Blvd, Inverness, FL.
Cash / Self-Pay
$26,992

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,369

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $26,992 (7573%)
Insurance Median: $4,369 (1226%)
Cash: $26,992 (7573% of Medicare)
Ins. Median: $4,369 (1226% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 1226% of the Medicare baseline (a markup of 1126%). 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
Avmed $738 - $1,863 207%
Aetna $757 - $8,098 212%
United $828 - $12,146 232%
Access 2 Healthcare Physicians Freedom Optimum Group Members $1,269 356%
Access 2 Healthcare Physicians Freedom Health $1,620 455%
Access 2 Healthcare Physicians Optimum $1,620 455%
Freedom Health Care $1,754 492%
Optimum Healthcare $1,754 492%
Corvel Corporation $4,279 1201%
Rockport Healthcare Group $4,279 1201%
Prime Health $4,369 1226%
Molina $5,128 - $7,288 1439%
Sunshine State Health Plan $6,883 1931%
Beacon Health Options $13,496 3786%
Plotkin Health $13,496 3786%
Prime Health Sheriff $13,496 3786%
Evolutions Healthcare Systems $16,195 - $24,832 4544%
Multiplan $20,244 - $22,943 5680%
Evernorth $21,593 6058%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Highland Blvd, Inverness, FL 34452
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals