CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: HCA Florida West Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $5,550
Cash Discount Price: $17,902
vs. Medicare Baseline: 22.77x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at HCA Florida West Hospital is $5,550. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,902. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 22.77x the Medicare baseline. Located in 8383 N Davis Hwy, Pensacola, FL.

Cash / Self-Pay

$17,902

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,550

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: $17,902 (7344%)

Insurance Median: $5,550 (2277%)

Cash: $17,902 (7344% of Medicare)

Ins. Median: $5,550 (2277% 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 2277% of the Medicare baseline (a markup of 2177%). 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 - $8,056	212%
Aetna	$1,258 - $5,371	516%
Avmed	$1,695 - $8,951	695%
Freedom Health	$2,274	933%
Simply	$2,757	1131%
Molina Healthcare	$3,401 - $5,729	1395%
Corvel Corporation	$3,746	1537%
Prime Health	$3,825	1569%
Careworks (Rockport Community)	$3,943	1618%
Sunshine State Health Plan	$4,565	1873%
Plotkin Health	$8,951	3672%
Prime Health Sheriff	$8,951	3672%
Evolutions Healthcare	$11,636 - $15,217	4773%
Multiplan	$13,964 - $15,217	5728%
Evernorth	$14,322	5875%
Ppo Next	$15,217	6242%
Novanet	$16,112	6610%
Beacon Health Options	$17,902	7344%

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 $17,902.
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 West 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.