CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: HCA Florida Jfk Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $5,281
Cash Discount Price: $33,005
vs. Medicare Baseline: 21.66x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at HCA Florida Jfk Hospital is $5,281. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33,005. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 21.66x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.

Cash / Self-Pay

$33,005

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,281

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: $33,005 (13539%)

Insurance Median: $5,281 (2166%)

Cash: $33,005 (13539% of Medicare)

Ins. Median: $5,281 (2166% 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 2166% of the Medicare baseline (a markup of 2066%). 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 - $14,852	212%
Healthy Palm Beaches	$550	226%
Aetna	$868 - $9,902	356%
Avmed	$890 - $16,502	365%
Freedom Health	$2,838 - $5,281	1164%
Optimum	$2,838	1164%
Corvel Corporation	$4,092	1679%
Careworks (Rockport)	$4,178	1714%
Prime Health	$4,178	1714%
Simply Healthcare Plans	$4,291	1760%
Molina	$5,611 - $8,911	2302%
Health Sun Health Plan	$7,030	2884%
Aids Healthcare	$7,261 - $39,606	2979%
Mmm Of Fl (Health Advantage Plan)	$7,591	3114%
United Ppo	$7,822	3209%
Sunshine State Health Plan	$8,581	3520%
Blis	$11,552	4739%
District Cares	$16,502	6769%
Plotkin Health	$16,502	6769%
Prime Health Sherriff	$16,502	6769%
Medica Healthcare	$19,473	7988%
Multiplan	$24,754 - $28,054	10155%
Evernorth Bh	$26,404	10832%

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 $33,005.
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 Jfk 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.