CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Florida Jfk Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $5,955
Cash Discount Price: $37,221
vs. Medicare Baseline: 16.71x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Florida Jfk Hospital is $5,955. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $37,221. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 16.71x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.

Cash / Self-Pay

$37,221

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,955

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: $37,221 (10443%)

Insurance Median: $5,955 (1671%)

Cash: $37,221 (10443% of Medicare)

Ins. Median: $5,955 (1671% 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 1671% of the Medicare baseline (a markup of 1571%). 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
Healthy Palm Beaches	$550	154%
United	$828 - $16,749	232%
Aetna	$868 - $11,166	244%
Avmed	$890 - $18,610	250%
Freedom Health	$3,201 - $5,955	898%
Optimum	$3,201	898%
Corvel Corporation	$4,756	1334%
Simply Healthcare Plans	$4,839	1358%
Careworks (Rockport)	$4,857	1363%
Prime Health	$4,857	1363%
Molina	$6,328 - $10,050	1775%
Health Sun Health Plan	$7,928	2224%
Aids Healthcare	$8,189 - $44,665	2298%
Mmm Of Fl (Health Advantage Plan)	$8,561	2402%
United Ppo	$8,821	2475%
Sunshine State Health Plan	$9,677	2715%
Blis	$13,027	3655%
District Cares	$18,610	5221%
Plotkin Health	$18,610	5221%
Prime Health Sherriff	$18,610	5221%
Medica Healthcare	$21,960	6161%
Multiplan	$27,916 - $31,638	7832%
Evernorth Bh	$29,777	8354%

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 $37,221.
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 Jfk 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.