CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: HCA Florida South Shore Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $5,158
Cash Discount Price: $31,169
vs. Medicare Baseline: 21.16x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at HCA Florida South Shore Hospital is $5,158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31,169. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 21.16x the Medicare baseline. Located in 4016 Sun City Center Blvd, Sun City Center, FL.

Cash / Self-Pay

$31,169

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,158

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: $31,169 (12786%)

Insurance Median: $5,158 (2116%)

Cash: $31,169 (12786% of Medicare)

Ins. Median: $5,158 (2116% 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 2116% of the Medicare baseline (a markup of 2016%). 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 - $14,599	212%
Avmed	$738 - $1,863	303%
Aetna	$913 - $9,733	375%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$1,405 - $1,525	576%
Access 2 Healthcare Physicians Freedom Health	$2,152 - $2,336	883%
Access 2 Healthcare Physicians Optimum	$2,152 - $2,336	883%
Freedom Health Care	$2,332 - $2,531	957%
Optimum Healthcare	$2,332 - $2,531	957%
Corvel Corporation	$3,956	1623%
Rockport Healthcare Group	$3,956	1623%
Prime Health	$4,040	1657%
Simply Healthcare	$4,604 - $4,996	1889%
Molina	$5,680 - $8,760	2330%
Sunshine State Health Plan	$7,623 - $8,273	3127%
Plotkin Health	$14,948 - $16,221	6132%
Prime Health Sheriff	$14,948 - $16,221	6132%
Evolutions Healthcare Systems	$16,442 - $29,847	6745%
Multiplan	$22,421 - $27,576	9198%

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 $31,169.
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 South Shore 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.