CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Florida Lake City Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $10,712
Cash Discount Price: $22,608
vs. Medicare Baseline: 30.05x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Florida Lake City Hospital is $10,712. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22,608. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 30.05x the Medicare baseline. Located in 340 Nw Commerce Dr, Lake City, FL.

Cash / Self-Pay

$22,608

Average discount available for prompt cash payment at this facility.

Insurance Median

$10,712

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: $22,608 (6343%)

Insurance Median: $10,712 (3005%)

Cash: $22,608 (6343% of Medicare)

Ins. Median: $10,712 (3005% 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 3005% of the Medicare baseline (a markup of 2905%). 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	$828 - $10,660	232%
Aetna	$968 - $7,106	272%
Avmed	$981 - $11,844	275%
Simply	$3,315 - $3,648	930%
Corvel Corporation	$4,263	1196%
Prime Health	$4,353	1221%
Careworks (Rockport Community)	$4,487	1259%
Sunshine State Health Plan	$5,490 - $6,040	1540%
Molina Healthcare	$6,889 - $7,580	1933%
Plotkin Health	$10,764 - $11,844	3020%
Prime Health Sheriff	$10,764 - $11,844	3020%
Hamilton County Jail	$11,625 - $12,792	3262%
Multiplan	$16,791 - $20,135	4711%
Evolutions	$18,298 - $20,135	5134%
Ppo Next	$18,298 - $20,135	5134%
Novanet	$19,375 - $21,319	5436%

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 $22,608.
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 Lake City 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.