CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: HCA Florida Mercy Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $6,300
Cash Discount Price: $25,352
vs. Medicare Baseline: 25.84x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at HCA Florida Mercy Hospital is $6,300. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25,352. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 25.84x the Medicare baseline. Located in 401 Nw 42Nd Ave, Plantation, FL.

Cash / Self-Pay

$25,352

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,300

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: $25,352 (10400%)

Insurance Median: $6,300 (2584%)

Cash: $25,352 (10400% of Medicare)

Ins. Median: $6,300 (2584% 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 2584% of the Medicare baseline (a markup of 2484%). 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 - $11,408	212%
Aetna	$809 - $7,606	332%
Avmed	$845 - $12,676	347%
Freedom Health	$2,180 - $4,056	894%
Optimum	$2,180	894%
Simply Healthcare Plans	$3,296	1352%
Corvel Corporation	$4,249	1743%
Careworks (Rockport)	$4,339	1780%
Prime Health	$4,339	1780%
Molina	$4,817 - $6,845	1976%
Health Sun Health Plan	$5,400	2215%
Aids Healthcare	$5,577 - $30,422	2288%
Mmm Of Fl (Health Advantage Plan)	$5,831	2392%
United Ppo	$6,008	2465%
Sunshine State Health Plan	$6,592	2704%
Plotkin Health	$12,676	5200%
Prime Health Sherriff	$12,676	5200%
Medica Healthcare	$14,958	6136%
Multiplan	$19,014 - $21,549	7800%
Evernorth Bh	$20,282	8320%

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 $25,352.
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 Mercy 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.