CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Larkin Community Hospital Palm Springs Campus

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $318
  • Cash Discount Price: $2,841
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Larkin Community Hospital Palm Springs Campus is $318. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,841. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.30x the Medicare baseline. Located in 1475 W 49Th St, Hialeah, FL.
Cash / Self-Pay
$2,841

Average discount available for prompt cash payment at this facility.

Insurance Median
$318

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: $2,841 (1165%)
Insurance Median: $318 (130%)
Cash: $2,841 (1165% of Medicare)
Ins. Median: $318 (130% 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.

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
Medicare (plans) $85 - $7,992 35%
Bright Health Commercial - All Other Plans $90 - $299 37%
Clear Springs Health - All Plans $90 - $262 37%
Florida Health Solution/Hmo - All Plans $200 82%
Aetna $207 - $249 85%
Florida Community Care Mcaid-All Plans $207 85%
Miami Childrens Hp Mcaid-All Plans $207 85%
Simply Healthcare Mcaid $207 85%
Sunshine Mcaid $207 85%
United Mcaid $207 85%
Wellcare Mcaid $207 85%
Ambetter / Centene $249 102%
Blue Cross Blue Shield $249 - $1,722 102%
Opus Hospice Ip Only - All Plans $249 102%
Unicare Simply Mcare Ppo - All Plans $262 107%
Ccs - All Plans $336 138%
Fdc - All Plans $349 143%
Cigna $500 205%
Wellcare Comm (Choice) - All Other Plans $600 246%
Humana $604 - $7,992 248%
Leon Med Center Mcr Adv - All Plans $7,193 2951%
Careplus Health - All Other Plans $7,992 3279%
Centurion Doc - All Plans $7,992 3279%
Doctors Healthcare - All Plans $7,992 3279%
Preferred Care Partners Mcr - All Plans $7,992 3279%
Simply Healthcare Mcr - All Other Plans $7,992 3279%
UnitedHealthcare $7,992 3279%
Naphcare - All Plans $9,191 3770%
Oscar Health-All Plans $15,984 6557%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1475 W 49Th St, Hialeah, FL 33012
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals