CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Santa Rosa Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $253
  • Cash Discount Price: $2,081
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Santa Rosa Medical Center is $253. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,081. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.04x the Medicare baseline. Located in 6002 Berryhill Rd, Milton, FL.
Cash / Self-Pay
$2,081

Average discount available for prompt cash payment at this facility.

Insurance Median
$253

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: $2,081 (854%)
Insurance Median: $253 (104%)
Cash: $2,081 (854% of Medicare)
Ins. Median: $253 (104% 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.

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
Prime Health Work Comp Fl $163 67%
Florida Workers Compensation $168 69%
Medicaid / KanCare $207 - $240 85%
Humana $213 - $245 87%
Wellcare $217 89%
Veterans Eval Services $228 94%
Molina $234 96%
Tricare $237 97%
Fl Community Care $238 98%
Aetna $245 - $4,669 101%
Blue Cross Blue Shield $245 - $2,227 101%
Cigna $245 - $1,881 101%
Medicare (plans) $245 101%
UnitedHealthcare $245 - $1,615 101%
Hospice Of Nw Fl $249 102%
Node Champva $249 102%
Node Va $249 102%
Node Wellcare Mcr Adv $257 105%
Geo Group $311 128%
Node Us Dept Of Labor $311 128%
Oscar $462 190%
Florida State Auto Insurance $498 204%
Ambetter / Centene $596 244%
Self Pay $1,914 785%
Prime Health Services $6,658 2731%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6002 Berryhill Rd, Milton, FL 32570
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals