CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Florida Fawcett Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $4,550
Cash Discount Price: $34,634
vs. Medicare Baseline: 12.77x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Florida Fawcett Hospital is $4,550. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34,634. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 12.77x the Medicare baseline. Located in 21298 Olean Blvd, Port Charlotte, FL.

Cash / Self-Pay

$34,634

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,550

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: $34,634 (9717%)

Insurance Median: $4,550 (1277%)

Cash: $34,634 (9717% of Medicare)

Ins. Median: $4,550 (1277% 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 1277% of the Medicare baseline (a markup of 1177%). 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
Avmed	$738 - $1,863	207%
United	$828 - $15,585	232%
Aetna	$848 - $10,390	238%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$1,628	457%
Access 2 Healthcare Physicians Freedom Health	$2,494	700%
Access 2 Healthcare Physicians Optimum	$2,494	700%
Freedom Health Care	$2,701	758%
Optimum Healthcare	$2,701	758%
Corvel Corporation	$4,456	1250%
Rockport Healthcare Group	$4,456	1250%
Prime Health	$4,550	1277%
Simply Healthcare	$5,334	1497%
Molina	$6,581 - $9,351	1846%
Sunshine State Health Plan	$8,832	2478%
Behealthy America	$13,507	3790%
Evolutions Healthcare Systems	$17,317 - $31,864	4858%
Plotkin Health	$17,317	4858%
Prime Health Sheriff	$17,317	4858%
Multiplan	$25,976 - $29,439	7288%

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 $34,634.
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 Fawcett 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.