CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Florida Gulf Coast Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $12,870
Cash Discount Price: $28,601
vs. Medicare Baseline: 36.11x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Florida Gulf Coast Hospital is $12,870. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28,601. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 36.11x the Medicare baseline. Located in 449 W 23Rd St, Panama City, FL.

Cash / Self-Pay

$28,601

Average discount available for prompt cash payment at this facility.

Insurance Median

$12,870

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: $28,601 (8024%)

Insurance Median: $12,870 (3611%)

Cash: $28,601 (8024% of Medicare)

Ins. Median: $12,870 (3611% 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 3611% of the Medicare baseline (a markup of 3511%). 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 - $12,938	232%
Aetna	$1,258 - $8,625	353%
Avmed	$1,695 - $14,375	476%
Corvel Corporation	$4,220	1184%
Prime Health	$4,309	1209%
Simply	$4,403 - $4,428	1235%
Careworks (Rockport Community)	$4,442	1246%
Molina Healthcare	$5,432 - $9,200	1524%
Sunshine State Health Plan	$7,290 - $7,331	2045%
Plotkin Health	$14,295 - $14,375	4011%
Prime Health Sheriff	$14,295 - $14,375	4011%
Multiplan	$22,300 - $24,438	6256%
Ppo Next	$24,302 - $24,438	6818%
Novanet	$25,731 - $25,875	7219%

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 $28,601.
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 Gulf Coast 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.