CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Florida Raulerson Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $3,944
Cash Discount Price: $21,100
vs. Medicare Baseline: 11.07x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Florida Raulerson Hospital is $3,944. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21,100. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 11.07x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.

Cash / Self-Pay

$21,100

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,944

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: $21,100 (5920%)

Insurance Median: $3,944 (1107%)

Cash: $21,100 (5920% of Medicare)

Ins. Median: $3,944 (1107% 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 1107% of the Medicare baseline (a markup of 1007%). 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 - $9,495	232%
Avmed	$890 - $10,550	250%
Aetna	$1,087 - $6,330	305%
Freedom Health	$1,815	509%
Optimum	$1,815	509%
Simply Healthcare Plans	$2,743	770%
Molina	$4,009 - $5,697	1125%
Corvel Corporation	$4,263	1196%
Careworks (Rockport)	$4,353	1221%
Prime Health	$4,353	1221%
Health Sun Health Plan	$4,494	1261%
Sunshine State Health Plan	$5,380	1509%
United Ppo	$9,284	2605%
Plotkin Health	$10,550	2960%
Prime Health Sherriff	$10,550	2960%
Multiplan	$15,825 - $17,935	4440%

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 $21,100.
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 Raulerson 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.