CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Florida Aventura Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $4,742
Cash Discount Price: $18,238
vs. Medicare Baseline: 13.30x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Florida Aventura Hospital is $4,742. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18,238. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 13.30x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.

Cash / Self-Pay

$18,238

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,742

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: $18,238 (5117%)

Insurance Median: $4,742 (1330%)

Cash: $18,238 (5117% of Medicare)

Ins. Median: $4,742 (1330% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1330% of the Medicare baseline (a markup of 1230%). 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
Aetna	$809 - $5,471	227%
United	$828 - $8,207	232%
Avmed	$845 - $9,119	237%
Freedom Health	$1,568 - $2,918	440%
Optimum	$1,568	440%
Simply Healthcare Plans	$2,371	665%
Molina	$3,100 - $4,924	870%
Health Sun Health Plan	$3,885	1090%
Aids Healthcare	$4,012 - $21,886	1126%
Mmm Of Fl (Health Advantage Plan)	$4,195	1177%
United Ppo	$4,322	1213%
Sunshine State Health Plan	$4,742	1330%
Corvel Corporation	$4,939	1386%
Careworks (Rockport)	$5,043	1415%
Prime Health	$5,043	1415%
Plotkin Health	$9,119	2558%
Prime Health Sherriff	$9,119	2558%
Medica Healthcare	$10,578	2968%
Multiplan	$13,678 - $15,502	3837%
Evernorth Bh	$14,590	4093%

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 $18,238.
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 HCA Florida Aventura 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.