CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Winter Haven Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $2,448
Cash Discount Price: $3,399
vs. Medicare Baseline: 10.04x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Winter Haven Hospital is $2,448. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,399. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.04x the Medicare baseline. Located in 200 Ave F Ne, Winter Haven, FL.

Cash / Self-Pay

$3,399

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,448

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: $3,399 (1394%)

Insurance Median: $2,448 (1004%)

Cash: $3,399 (1394% of Medicare)

Ins. Median: $2,448 (1004% 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 1004% of the Medicare baseline (a markup of 904%). 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
Aetna	$132 - $4,617	54%
Clear Health Alliance	$209	86%
UnitedHealthcare	$211 - $5,098	87%
Humana	$215 - $303	88%
Freedom Health	$217	89%
Molina Healthcare	$217	89%
Simply Healthcare	$217 - $1,020	89%
Sunshine Health	$217	89%
Florida Community Care	$228	94%
Baycareplus	$243	100%
Blue Cross Blue Shield	$243 - $3,265	100%
Careplus	$252	103%
Solis Health	$267	110%
Freedom	$271	111%
Optimum	$271	111%
Cigna	$273 - $4,928	112%
Health First	$279	114%
Wellcare	$340	139%
Ambetter / Centene	$546 - $5,665	224%
Molina	$1,020 - $3,348	418%
Ultimate Health Plan	$1,699	697%
Avmed	$1,756 - $2,776	720%
Florida Hospital	$2,606	1069%
Evolutions	$2,832 - $5,268	1162%
Multiplan	$4,532	1859%
First Health	$4,815	1975%
United Behavioral Health	$5,665	2324%

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 $3,399.
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 Winter Haven 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.