CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Florida West Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $5,745
Cash Discount Price: $18,532
vs. Medicare Baseline: 16.12x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Florida West Hospital is $5,745. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18,532. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 16.12x the Medicare baseline. Located in 8383 N Davis Hwy, Pensacola, FL.

Cash / Self-Pay

$18,532

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,745

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: $18,532 (5199%)

Insurance Median: $5,745 (1612%)

Cash: $18,532 (5199% of Medicare)

Ins. Median: $5,745 (1612% 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 1612% of the Medicare baseline (a markup of 1512%). 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	$828 - $8,340	232%
Aetna	$1,258 - $5,560	353%
Avmed	$1,695 - $9,266	476%
Freedom Health	$2,354	660%
Simply	$2,854	801%
Molina Healthcare	$3,521 - $5,930	988%
Corvel Corporation	$4,354	1222%
Prime Health	$4,446	1247%
Careworks (Rockport Community)	$4,584	1286%
Sunshine State Health Plan	$4,726	1326%
Plotkin Health	$9,266	2600%
Prime Health Sheriff	$9,266	2600%
Evolutions Healthcare	$12,046 - $15,753	3380%
Multiplan	$14,455 - $15,753	4055%
Evernorth	$14,826	4160%
Ppo Next	$15,753	4420%
Novanet	$16,679	4679%
Beacon Health Options	$18,532	5199%

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 $18,532.
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 West 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.