CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: HCA Florida Gulf Coast Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $12,026
  • Cash Discount Price: $26,724
  • vs. Medicare Baseline: 49.33x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at HCA Florida Gulf Coast Hospital is $12,026. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26,724. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 49.33x the Medicare baseline. Located in 449 W 23Rd St, Panama City, FL.
Cash / Self-Pay
$26,724

Average discount available for prompt cash payment at this facility.

Insurance Median
$12,026

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: $26,724 (10963%)
Insurance Median: $12,026 (4933%)
Cash: $26,724 (10963% of Medicare)
Ins. Median: $12,026 (4933% 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 4933% of the Medicare baseline (a markup of 4833%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 - $12,091 212%
Aetna $1,258 - $8,060 516%
Avmed $1,695 - $13,434 695%
Corvel Corporation $3,631 1490%
Prime Health $3,707 1521%
Careworks (Rockport Community) $3,822 1568%
Simply $4,114 - $4,138 1688%
Molina Healthcare $5,076 - $8,598 2082%
Sunshine State Health Plan $6,812 - $6,851 2794%
Plotkin Health $13,357 - $13,434 5479%
Prime Health Sheriff $13,357 - $13,434 5479%
Multiplan $20,837 - $22,838 8548%
Ppo Next $22,707 - $22,838 9315%
Novanet $24,043 - $24,181 9863%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 449 W 23Rd St, Panama City, FL 32405
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals