CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Coral Gables Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $246
  • Cash Discount Price: $16,192
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Coral Gables Hospital is $246. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,192. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.01x the Medicare baseline. Located in 3100 Douglas Rd, Coral Gables, FL.
Cash / Self-Pay
$16,192

Average discount available for prompt cash payment at this facility.

Insurance Median
$246

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: $16,192 (6642%)
Insurance Median: $246 (101%)
Cash: $16,192 (6642% of Medicare)
Ins. Median: $246 (101% 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.

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 Broad Network $139 57%
Aetna $142 - $12,144 58%
Dimension Health Wc $150 62%
Workers Compensation $150 62%
Veterans Administration Mill Bill $164 67%
Imagine Health $178 73%
Healthsun Health Plans $195 - $246 80%
Humana $206 - $5,910 85%
Medicaid / KanCare $206 - $216 85%
UnitedHealthcare $207 - $234 85%
Medicare (plans) $211 - $511 87%
Self Pay/Uninsured $232 - $292 95%
Leon Health Inc $233 96%
Devoted Health $234 96%
Tricare $235 96%
Employer Direct Healthcare $236 - $238 97%
Catholic Hospice $238 98%
Hcr Manor Care Services Of Fl Ii Dba Heartland Hospice Services $238 98%
Hospice Other $238 98%
Odyssey Healthcare Of Marion County Dba Kindred Hospice $238 98%
Opus Care Of South Florida $238 98%
Seasons Hospice And Palliative Care Of Southern Florida Inc $238 98%
Veterans Administration Vaccn $238 98%
Vitas Healthcare Corporation/Hospice Ppo $238 98%
Cigna $246 - $4,760 101%
Longevity Health Plan $248 102%
Bc/Bs Of Fl Miami Dade Blue Select $258 106%
Oscar Health Plan Hix $272 112%
Florida Pace Centers $281 115%
Bright Health Management Commercial $285 117%
Bc/Bs Of Fl Network Blue $328 135%
Naphcare Inc $328 135%
Bc/Bs Of Fl Health Options Hmo $330 135%
Bc/Bs Myblue Hmo Hix $339 139%
Bc/Bs Of Fl Simplyblue $356 146%
Bc/Bs Of Fl Blue Select Exchange Non Par $360 148%
Bc/Bs Of Fl Ppo $384 158%
Avmed Exchange $416 171%
Ambetter / Centene $440 180%
Molina Marketplace Program Exchange $453 186%
Auto Insurance $476 195%
Avmed Select Network $487 200%
Amerihealth Caritas Next Exchange $511 210%
Bc/Bs Of Fl Phs $8,697 3568%
Dimension International $10,525 4318%
First Health $11,496 4716%
Dimension Health Ppo $12,144 4982%
Commercial Non-Contracted $16,192 6642%
Self Pay - Mcd Pending 100 Percent $16,192 6642%
Single Case Agreement $16,192 6642%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Douglas Rd, Coral Gables, FL 33134
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals