CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: HCA Florida Lake City Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $10,105
Cash Discount Price: $21,327
vs. Medicare Baseline: 41.45x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at HCA Florida Lake City Hospital is $10,105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21,327. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 41.45x the Medicare baseline. Located in 340 Nw Commerce Dr, Lake City, FL.

Cash / Self-Pay

$21,327

Average discount available for prompt cash payment at this facility.

Insurance Median

$10,105

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: $21,327 (8749%)

Insurance Median: $10,105 (4145%)

Cash: $21,327 (8749% of Medicare)

Ins. Median: $10,105 (4145% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 4145% of the Medicare baseline (a markup of 4045%). 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
United	$518 - $10,053	212%
Aetna	$968 - $6,702	397%
Avmed	$981 - $11,170	402%
Simply	$3,128 - $3,440	1283%
Corvel Corporation	$3,667	1504%
Prime Health	$3,745	1536%
Careworks (Rockport Community)	$3,861	1584%
Sunshine State Health Plan	$5,180 - $5,697	2125%
Molina Healthcare	$6,500 - $7,149	2666%
Plotkin Health	$10,157 - $11,170	4167%
Prime Health Sheriff	$10,157 - $11,170	4167%
Hamilton County Jail	$10,970 - $12,063	4500%
Multiplan	$15,845 - $18,989	6500%
Evolutions	$17,267 - $18,989	7083%
Ppo Next	$17,267 - $18,989	7083%
Novanet	$18,283 - $20,106	7500%

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 $21,327.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Lake City Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.