CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Santa Rosa Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $370
  • Cash Discount Price: $3,954
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Santa Rosa Medical Center is $370. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,954. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.04x the Medicare baseline. Located in 6002 Berryhill Rd, Milton, FL.
Cash / Self-Pay
$3,954

Average discount available for prompt cash payment at this facility.

Insurance Median
$370

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: $3,954 (1109%)
Insurance Median: $370 (104%)
Cash: $3,954 (1109% of Medicare)
Ins. Median: $370 (104% 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.

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
Medicaid / KanCare $207 - $240 58%
Humana $213 - $358 60%
Wellcare $217 61%
Molina $234 66%
Fl Community Care $238 67%
Veterans Eval Services $336 94%
Prime Health Work Comp Fl $341 96%
Tricare $346 97%
Florida Workers Compensation $352 99%
Aetna $358 - $8,873 100%
Blue Cross Blue Shield $358 - $2,227 100%
Cigna $358 - $3,575 100%
Medicare (plans) $358 100%
UnitedHealthcare $358 - $3,068 100%
Hospice Of Nw Fl $364 102%
Node Champva $364 102%
Node Va $364 102%
Node Wellcare Mcr Adv $376 105%
Geo Group $455 128%
Node Us Dept Of Labor $455 128%
Oscar $676 190%
Florida State Auto Insurance $729 205%
Ambetter / Centene $871 244%
Self Pay $3,638 1021%
Prime Health Services $12,653 3550%

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