CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Florida Northwest Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $4,676
Cash Discount Price: $17,986
vs. Medicare Baseline: 13.12x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Florida Northwest Hospital is $4,676. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,986. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 13.12x the Medicare baseline. Located in 2801 N State Rd 7, Margate, FL.

Cash / Self-Pay

$17,986

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,676

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: $17,986 (5046%)

Insurance Median: $4,676 (1312%)

Cash: $17,986 (5046% of Medicare)

Ins. Median: $4,676 (1312% 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 1312% of the Medicare baseline (a markup of 1212%). 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
Aetna	$769 - $5,396	216%
United	$828 - $8,094	232%
Avmed	$890 - $8,993	250%
Freedom Health	$1,547 - $2,878	434%
Optimum	$1,547	434%
Simply Healthcare Plans	$2,338	656%
Molina	$3,417 - $4,856	959%
Health Sun Health Plan	$3,831	1075%
Mmm Of Fl (Health Advantage Plan)	$4,137	1161%
United Ppo	$4,263	1196%
Sunshine State Health Plan	$4,748	1332%
Corvel Corporation	$4,980	1397%
Careworks (Rockport)	$5,085	1427%
Prime Health	$5,085	1427%
Blis	$6,295	1766%
Plotkin Health	$8,993	2523%
Prime Health Sherriff	$8,993	2523%
Medica Healthcare	$10,432	2927%
Multiplan	$13,490 - $15,288	3785%

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 $17,986.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Northwest Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.