CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: HCA Florida Lawnwood Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $4,146
  • Cash Discount Price: $18,718
  • vs. Medicare Baseline: 17.01x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at HCA Florida Lawnwood Hospital is $4,146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18,718. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 17.01x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$18,718

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,146

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: $18,718 (7679%)
Insurance Median: $4,146 (1701%)
Cash: $18,718 (7679% of Medicare)
Ins. Median: $4,146 (1701% 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 1701% of the Medicare baseline (a markup of 1601%). 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
Blue Cross Blue Shield $197 - $13,851 81%
Pinnacol Workers Comp $377 155%
United $391 - $9,634 160%
Multiplan $393 - $18,198 161%
Rocky Mountain Health Plan $518 212%
Avmed $890 - $10,704 365%
Aetna $1,087 - $6,423 446%
Freedom Health $1,841 755%
Optimum $1,841 755%
Vail Health $2,681 - $2,845 1100%
Simply Healthcare Plans $2,783 1142%
Corvel Corporation $4,061 1666%
Molina $4,068 - $5,780 1669%
Careworks (Rockport) $4,146 1701%
Prime Health $4,146 - $16,846 1701%
Health Sun Health Plan $4,560 1871%
Bright Health $5,292 - $5,615 2171%
Sunshine State Health Plan $5,459 2239%
Office Of Sheiff Highland Co $7,493 3074%
United Ppo $9,420 3864%
Plotkin Health $10,704 4391%
Prime Health Sherriff $10,704 4391%
Cigna $11,290 - $11,979 4631%
Western Plains Community Health $11,466 - $12,166 4704%
Northcare $12,348 - $13,102 5065%
Physician Health Partners $12,348 - $13,102 5065%
Medical Development International $14,113 - $14,974 5789%
Evernorth Bh $17,127 7026%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals