CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Florida Northside Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $4,647
Cash Discount Price: $42,284
vs. Medicare Baseline: 13.04x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Florida Northside Hospital is $4,647. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $42,284. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 13.04x the Medicare baseline. Located in 6000 49Th St N, Saint Petersburg, FL.

Cash / Self-Pay

$42,284

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,647

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: $42,284 (11863%)

Insurance Median: $4,647 (1304%)

Cash: $42,284 (11863% of Medicare)

Ins. Median: $4,647 (1304% 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 1304% of the Medicare baseline (a markup of 1204%). 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 - $19,028	232%
Aetna	$913 - $12,685	256%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$1,987	557%
Access 2 Healthcare Physicians Freedom Health	$3,044	854%
Access 2 Healthcare Physicians Optimum	$3,044	854%
Freedom Health Care	$3,298	925%
Optimum Healthcare	$3,298	925%
Corvel Corporation	$4,599	1290%
Rockport Healthcare Group	$4,599	1290%
Prime Health	$4,695	1317%
Simply Healthcare	$6,512	1827%
Molina	$8,034 - $11,417	2254%
Sunshine State Health Plan	$10,782	3025%
Plotkin Health	$21,142	5932%
Prime Health Sheriff	$21,142	5932%
Evolutions Healthcare Systems	$23,256 - $38,901	6525%
Multiplan	$31,713 - $35,941	8897%

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 $42,284.
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 Northside 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.