CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Lower Keys Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $456
  • Cash Discount Price: $2,305
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Lower Keys Medical Center is $456. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,305. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.87x the Medicare baseline. Located in 5900 College Road, Key West, FL.
Cash / Self-Pay
$2,305

Average discount available for prompt cash payment at this facility.

Insurance Median
$456

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: $2,305 (946%)
Insurance Median: $456 (187%)
Cash: $2,305 (946% of Medicare)
Ins. Median: $456 (187% 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
UnitedHealthcare $62 - $5,718 25%
Prime Health Work Comp Fl $178 73%
Fl Work Comp $184 75%
Heritage Summit Work Comp Fl $184 75%
Veterans Eval Services $228 94%
Tricare $254 104%
Blue Cross Blue Shield $263 - $5,861 108%
Humana $263 - $325 108%
Medicare (plans) $263 108%
Ultimate Health $263 108%
Node Champva $267 110%
Node Non Par Hospice Agree $267 110%
Node United Behavioral Va Ccn $267 110%
Node Va $267 110%
Correct Care Solutions $294 121%
Florida Childrens Medical Services $316 130%
Medicaid / KanCare $316 - $347 130%
South Florida Community Care Network $316 130%
Node Us Dept Of Labor $334 137%
Amerigroup $347 142%
Positive Healthcare $347 142%
Simply Healthcare $347 - $2,305 142%
Wellcare $347 142%
Wellcare Healthease $347 142%
Molina $357 146%
Prestige Health Choice $366 150%
Magellan $379 155%
State Auto Insurance Fl $534 219%
Self Pay $2,007 - $2,602 823%
Cigna $4,387 1800%
Aetna $5,190 2129%
Monroe County $5,576 2287%
Evolutions Healthcare Systems $5,948 - $7,063 2440%
Keys Energy $5,948 2440%
Prime Health Ppo $5,948 2440%
Avmed Health Plan $6,320 2593%
Direct Healthcare $7,435 3050%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 College Road, Key West, FL 33040
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals