CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Sarasota Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $230
Cash Discount Price: $3,672
vs. Medicare Baseline: 0.65x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Sarasota Memorial Hospital is $230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,672. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.65x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.

Cash / Self-Pay

$3,672

Average discount available for prompt cash payment at this facility.

Insurance Median

$230

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: $3,672 (1030%)

Insurance Median: $230 (65%)

Cash: $3,672 (1030% of Medicare)

Ins. Median: $230 (65% 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.

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	$60 - $154	17%
Sunshine State Oncology	$60 - $154	17%
Molina Oncology	$62 - $158	17%
Amerihealth Caritas Oncology	$63 - $161	18%
Community Care Plan Oncology	$63 - $161	18%
Florida Community Care Oncology	$75 - $268	21%
Blue Cross Blue Shield	$82 - $358	23%
UnitedHealthcare	$88 - $7,879	25%
Wellcare Oncology	$90 - $226	25%
Simply Freedom Optimum Oncology	$93 - $241	26%
Aetna	$99 - $8,394	28%
Oscar Oncology	$145 - $367	41%
Simply Healthcare	$207 - $217	58%
Sunshine State	$217	61%
Molina	$223	63%
Ambetter / Centene	$226 - $968	63%
Amerihealth Caritas	$228	64%
Community Care Plan	$228	64%
Florida Community Care	$228 - $394	64%
Simply Freedom Optimum	$376	105%
Wellcare	$376	105%
Careworks	$5,012 - $5,016	1406%
Enlyte	$5,012 - $5,016	1406%
Avmed	$5,744 - $7,659	1612%
Usa Managed Care	$6,295 - $8,394	1766%
First Health	$6,531 - $8,708	1832%

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 $3,672.
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 Sarasota Memorial 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.