CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Florida Sarasota Doctors Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $4,599
  • Cash Discount Price: $23,779
  • vs. Medicare Baseline: 12.90x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Florida Sarasota Doctors Hospital is $4,599. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23,779. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 12.90x the Medicare baseline. Located in 5731 Bee Ridge Rd, Sarasota, FL.
Cash / Self-Pay
$23,779

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,599

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: $23,779 (6671%)
Insurance Median: $4,599 (1290%)
Cash: $23,779 (6671% of Medicare)
Ins. Median: $4,599 (1290% 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 1290% of the Medicare baseline (a markup of 1190%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Avmed $738 - $1,863 207%
United $828 - $10,700 232%
Aetna $848 - $7,134 238%
Access 2 Healthcare Physicians Freedom Optimum Group Members $1,118 314%
Access 2 Healthcare Physicians Freedom Health $1,712 480%
Access 2 Healthcare Physicians Optimum $1,712 480%
Freedom Health Care $1,855 520%
Optimum Healthcare $1,855 520%
Simply Healthcare $3,662 1027%
Molina $4,518 - $6,420 1268%
Corvel Corporation $4,599 1290%
Rockport Healthcare Group $4,599 1290%
Prime Health $4,695 1317%
Sunshine State Health Plan $6,064 1701%
Behealthy America $9,274 2602%
Beacon Health Options $11,889 3336%
Plotkin Health $11,889 3336%
Prime Health Sheriff $11,889 3336%
Evolutions Healthcare Systems $13,078 - $21,876 3669%
Multiplan $17,834 - $20,212 5004%
Evernorth $19,023 5337%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5731 Bee Ridge Rd, Sarasota, FL 34233
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals