CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Florida Capital Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $5,313
Cash Discount Price: $10,694
vs. Medicare Baseline: 14.91x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Florida Capital Hospital is $5,313. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,694. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 14.91x the Medicare baseline. Located in 2626 Capital Medical Blvd, Tallahassee, FL.

Cash / Self-Pay

$10,694

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,313

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: $10,694 (3000%)

Insurance Median: $5,313 (1491%)

Cash: $10,694 (3000% of Medicare)

Ins. Median: $5,313 (1491% 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 1491% of the Medicare baseline (a markup of 1391%). 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 - $4,843	232%
Aetna	$1,258 - $3,229	353%
Simply	$1,636 - $1,657	459%
Avmed	$1,695 - $5,381	476%
Molina Healthcare	$2,019 - $3,444	566%
Sunshine State Health Plan	$2,710 - $2,744	760%
Corvel Corporation	$4,215	1183%
Prime Health	$4,303	1207%
Careworks (Rockport Community)	$4,436	1245%
Plotkin Health	$5,313 - $5,381	1491%
Prime Health Sheriff	$5,313 - $5,381	1491%
Multiplan	$8,288 - $9,148	2325%
Evernorth	$8,500 - $8,610	2385%
Evolutions Healthcare	$9,032 - $9,148	2534%
Ppo Next	$9,032 - $9,148	2534%
Novanet	$9,563 - $9,686	2683%
Beacon Health Options	$10,626 - $10,762	2981%

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 $10,694.
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 Capital 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.