CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Sarasota Memorial Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $182
Cash Discount Price: $3,218
vs. Medicare Baseline: 0.75x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Sarasota Memorial Hospital is $182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,218. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.75x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.

Cash / Self-Pay

$3,218

Average discount available for prompt cash payment at this facility.

Insurance Median

$182

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: $3,218 (1320%)

Insurance Median: $182 (75%)

Cash: $3,218 (1320% of Medicare)

Ins. Median: $182 (75% 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.

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
Simply Healthcare Oncology	$61 - $78	25%
Sunshine State Oncology	$61 - $78	25%
Molina Oncology	$62 - $80	25%
Amerihealth Caritas Oncology	$63 - $81	26%
Community Care Plan Oncology	$63 - $81	26%
Florida Community Care Oncology	$76 - $124	31%
Blue Cross Blue Shield	$77 - $243	32%
UnitedHealthcare	$85 - $6,905	35%
Wellcare Oncology	$86 - $106	35%
Simply Freedom Optimum Oncology	$89 - $110	37%
Aetna	$94 - $7,355	39%
Oscar Oncology	$139 - $170	57%
Simply Healthcare	$207 - $217	85%
Ambetter / Centene	$216 - $655	89%
Sunshine State	$217	89%
Molina	$223	91%
Amerihealth Caritas	$228	94%
Community Care Plan	$228	94%
Florida Community Care	$228 - $267	94%
Simply Freedom Optimum	$255	105%
Wellcare	$255	105%
Careworks	$4,315 - $7,274	1770%
Enlyte	$4,315 - $7,274	1770%
Avmed	$5,033 - $6,712	2065%
Usa Managed Care	$5,516 - $7,355	2263%
First Health	$5,723 - $7,631	2348%

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 $3,218.
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 Sarasota Memorial 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.