CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: HCA Florida Raulerson Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $3,626
Cash Discount Price: $18,870
vs. Medicare Baseline: 14.87x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at HCA Florida Raulerson Hospital is $3,626. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18,870. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 14.87x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.

Cash / Self-Pay

$18,870

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,626

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: $18,870 (7741%)

Insurance Median: $3,626 (1487%)

Cash: $18,870 (7741% of Medicare)

Ins. Median: $3,626 (1487% 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 1487% of the Medicare baseline (a markup of 1387%). 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	$518 - $8,492	212%
Avmed	$890 - $9,435	365%
Aetna	$1,087 - $5,661	446%
Freedom Health	$1,623	666%
Optimum	$1,623	666%
Simply Healthcare Plans	$2,453	1006%
Molina	$3,585 - $5,095	1471%
Corvel Corporation	$3,667	1504%
Careworks (Rockport)	$3,745	1536%
Prime Health	$3,745	1536%
Health Sun Health Plan	$4,019	1649%
Sunshine State Health Plan	$4,812	1974%
United Ppo	$8,303	3406%
Plotkin Health	$9,435	3870%
Prime Health Sherriff	$9,435	3870%
Multiplan	$14,152 - $16,040	5805%

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 $18,870.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Raulerson Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.