CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: HCA Florida Lehigh Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $2,906
Cash Discount Price: $18,867
vs. Medicare Baseline: 11.92x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at HCA Florida Lehigh Hospital is $2,906. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18,867. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.92x the Medicare baseline. Located in 1500 Lee Blvd, Lehigh Acres, FL.

Cash / Self-Pay

$18,867

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,906

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: $18,867 (7740%)

Insurance Median: $2,906 (1192%)

Cash: $18,867 (7740% of Medicare)

Ins. Median: $2,906 (1192% 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 1192% of the Medicare baseline (a markup of 1092%). 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 - $3,094	212%
Aetna	$848 - $5,660	348%
Freedom Health Care	$1,472	604%
Optimum Healthcare	$1,472	604%
Simply Healthcare	$2,906	1192%
Sunshine State Health Plan	$4,811	1974%
Evolutions Healthcare Systems	$9,434 - $17,358	3870%
Plotkin Health	$9,434	3870%

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 $18,867.
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 Lehigh 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.