CMS Price Transparency Data
CT scan, abdomen and pelvis (no contrast)
Facility: Palmetto General 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 Palmetto General 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 2001 W 68Th St, Hialeah, 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
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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 - $11,496 | 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 - $6,574 | 85% |
| Medicaid / KanCare | $206 - $16,192 | 85% |
| UnitedHealthcare | $207 - $234 | 85% |
| Medicare (plans) | $211 - $16,192 | 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% |
| Bristol Hospice- Miami Dade Llc | $238 | 98% |
| Catholic Hospice | $238 | 98% |
| Compassionate Care Hospice Of Miami Dade And The Fl Keys Inc | $238 | 98% |
| Hospice Other | $238 | 98% |
| Ima Evalutations Inc | $238 | 98% |
| Odyssey Healthcare Of Marion County Dba Kindred Hospice | $238 | 98% |
| Opuscare Of South Fl | $238 | 98% |
| Seasons Hospice And Pallative Care Of Southern Florida Inc | $238 | 98% |
| Select Specialty Hospital | $238 | 98% |
| Veterans Administration Vaccn | $238 | 98% |
| Vitas Healthcare Hospice | $238 | 98% |
| Westchester General Hospital | $238 | 98% |
| Cigna | $246 - $8,096 | 101% |
| Longevity Health Plan | $250 | 103% |
| 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 Health Options Hmo | $327 | 134% |
| Naphcare Inc | $328 | 135% |
| Bc/Bs Of Fl Network Blue | $330 | 135% |
| Bc/Bs Myblue Hmo Hix | $337 | 138% |
| Bc/Bs Of Fl Simplyblue | $354 | 145% |
| Bc/Bs Of Fl Blue Select Exchange Non Par | $364 | 149% |
| Bc/Bs Of Fl Ppo | $387 | 159% |
| 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% |
| Liga Contra El Cancer | $2,000 | 820% |
| Bc/Bs Of Fl Phs | $8,123 | 3332% |
| Magellan Behavioral Health | $9,715 | 3985% |
| Dimensions International | $10,525 | 4318% |
| First Health | $10,849 | 4451% |
| Dimension Health Ppo | $12,144 | 4982% |
| Beacon Health Strategies Commercial | $16,192 | 6642% |
| Commercial Non-Contracted | $16,192 | 6642% |
| Self Pay - Mcd Pending 100 Percent | $16,192 | 6642% |
| Single Case Agreement | $16,192 | 6642% |
| United Behavioral Health Psych | $16,192 | 6642% |