CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Lower Keys Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $634
  • Cash Discount Price: $3,528
  • vs. Medicare Baseline: 1.78x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Lower Keys Medical Center is $634. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,528. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.78x the Medicare baseline. Located in 5900 College Road, Key West, FL.
Cash / Self-Pay
$3,528

Average discount available for prompt cash payment at this facility.

Insurance Median
$634

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: $3,528 (990%)
Insurance Median: $634 (178%)
Cash: $3,528 (990% of Medicare)
Ins. Median: $634 (178% 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
UnitedHealthcare $62 - $8,751 17%
Florida Childrens Medical Services $316 89%
Medicaid / KanCare $316 - $347 89%
South Florida Community Care Network $316 89%
Humana $325 - $384 91%
Veterans Eval Services $336 94%
Amerigroup $347 97%
Positive Healthcare $347 97%
Simply Healthcare $347 - $3,000 97%
Wellcare $347 97%
Wellcare Healthease $347 97%
Molina $357 100%
Prestige Health Choice $366 103%
Tricare $371 104%
Prime Health Work Comp Fl $374 105%
Magellan $379 106%
Blue Cross Blue Shield $384 - $7,283 108%
Medicare (plans) $384 108%
Ultimate Health $384 108%
Fl Work Comp $386 108%
Heritage Summit Work Comp Fl $386 108%
Node Champva $390 109%
Node Non Par Hospice Agree $390 109%
Node United Behavioral Va Ccn $390 109%
Node Va $390 109%
Correct Care Solutions $429 120%
Node Us Dept Of Labor $488 137%
State Auto Insurance Fl $780 219%
Self Pay $3,073 - $3,983 862%
Cigna $6,714 1884%
Aetna $7,943 2228%
Monroe County $8,535 2395%
Evolutions Healthcare Systems $9,104 - $10,811 2554%
Keys Energy $9,104 2554%
Prime Health Ppo $9,104 2554%
Avmed Health Plan $9,673 2714%
Direct Healthcare $11,380 3193%

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