CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Florida South Shore Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $5,431
Cash Discount Price: $32,815
vs. Medicare Baseline: 15.24x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Florida South Shore Hospital is $5,431. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32,815. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 15.24x the Medicare baseline. Located in 4016 Sun City Center Blvd, Sun City Center, FL.

Cash / Self-Pay

$32,815

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,431

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: $32,815 (9207%)

Insurance Median: $5,431 (1524%)

Cash: $32,815 (9207% of Medicare)

Ins. Median: $5,431 (1524% 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 1524% of the Medicare baseline (a markup of 1424%). 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
Avmed	$738 - $1,863	207%
United	$828 - $15,370	232%
Aetna	$913 - $10,247	256%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$1,479 - $1,605	415%
Access 2 Healthcare Physicians Freedom Health	$2,266 - $2,459	636%
Access 2 Healthcare Physicians Optimum	$2,266 - $2,459	636%
Freedom Health Care	$2,455 - $2,664	689%
Optimum Healthcare	$2,455 - $2,664	689%
Corvel Corporation	$4,599	1290%
Rockport Healthcare Group	$4,599	1290%
Prime Health	$4,695	1317%
Simply Healthcare	$4,847 - $5,260	1360%
Molina	$5,980 - $9,222	1678%
Sunshine State Health Plan	$8,026 - $8,710	2252%
Plotkin Health	$15,738 - $17,078	4415%
Prime Health Sheriff	$15,738 - $17,078	4415%
Evolutions Healthcare Systems	$17,312 - $31,423	4857%
Multiplan	$23,607 - $29,032	6623%

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 $32,815.
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 South Shore 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.