CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: HCA Florida Northwest Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $4,239
  • Cash Discount Price: $16,304
  • vs. Medicare Baseline: 17.39x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at HCA Florida Northwest Hospital is $4,239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,304. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 17.39x the Medicare baseline. Located in 2801 N State Rd 7, Margate, FL.
Cash / Self-Pay
$16,304

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,239

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: $16,304 (6688%)
Insurance Median: $4,239 (1739%)
Cash: $16,304 (6688% of Medicare)
Ins. Median: $4,239 (1739% 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 1739% of the Medicare baseline (a markup of 1639%). 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
United $518 - $7,337 212%
Aetna $769 - $4,891 315%
Avmed $890 - $8,152 365%
Freedom Health $1,402 - $2,609 575%
Optimum $1,402 575%
Simply Healthcare Plans $2,120 870%
Molina $3,098 - $4,402 1271%
Health Sun Health Plan $3,473 1425%
Mmm Of Fl (Health Advantage Plan) $3,750 1538%
United Ppo $3,864 1585%
Corvel Corporation $4,284 1757%
Sunshine State Health Plan $4,304 1766%
Careworks (Rockport) $4,375 1795%
Prime Health $4,375 1795%
Blis $5,706 2341%
Plotkin Health $8,152 3344%
Prime Health Sherriff $8,152 3344%
Medica Healthcare $9,456 3879%
Multiplan $12,228 - $13,858 5016%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2801 N State Rd 7, Margate, FL 33063
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals