CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: HCA Florida North Florida Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $7,597
Cash Discount Price: $24,506
vs. Medicare Baseline: 31.16x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at HCA Florida North Florida Hospital is $7,597. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24,506. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 31.16x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.

Cash / Self-Pay

$24,506

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,597

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: $24,506 (10053%)

Insurance Median: $7,597 (3116%)

Cash: $24,506 (10053% of Medicare)

Ins. Median: $7,597 (3116% 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 3116% of the Medicare baseline (a markup of 3016%). 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 - $11,028	212%
Avmed	$857 - $12,253	352%
Aetna	$968 - $7,352	397%
Simply	$3,774	1548%
Corvel Corporation	$4,117	1689%
Prime Health	$4,204	1725%
Careworks (Rockport Community)	$4,334	1778%
Molina Healthcare	$4,656 - $7,842	1910%
Sunshine State Health Plan	$6,249	2563%
Plotkin Health	$12,253	5026%
Prime Health Sheriff	$12,253	5026%
Corizon Phs	$14,704	6032%
Multiplan	$19,115 - $20,830	7841%
Evernorth	$19,605	8042%
Evolutions Healthcare	$20,830	8545%
Ppo Next	$20,830	8545%
Novanet	$22,056	9048%
Beacon Health Options	$24,506	10053%

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 $24,506.
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 North Florida 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.