CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Florida Twin Cities Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $10,763
Cash Discount Price: $35,875
vs. Medicare Baseline: 30.20x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Florida Twin Cities Hospital is $10,763. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35,875. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 30.20x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.

Cash / Self-Pay

$35,875

Average discount available for prompt cash payment at this facility.

Insurance Median

$10,763

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: $35,875 (10065%)

Insurance Median: $10,763 (3020%)

Cash: $35,875 (10065% of Medicare)

Ins. Median: $10,763 (3020% 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 3020% of the Medicare baseline (a markup of 2920%). 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	$828 - $16,144	232%
Avmed	$1,695 - $17,938	476%
Aetna	$1,696 - $10,762	476%
Corvel Corporation	$4,579	1285%
Prime Health	$4,676	1312%
Careworks (Rockport Community)	$4,820	1352%
Simply	$5,525	1550%
Molina Healthcare	$6,816 - $11,480	1912%
Sunshine State Health Plan	$9,148	2567%
Plotkin Health	$17,938	5033%
Prime Health Sheriff	$17,938	5033%
Evolutions Healthcare	$23,319 - $30,494	6542%
Multiplan	$27,982 - $30,494	7851%
Ppo Next	$30,494	8555%
Novanet	$32,288	9059%

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 $35,875.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Twin Cities Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.