CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Gulf Breeze Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $872
Cash Discount Price: $1,800
vs. Medicare Baseline: 3.58x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Gulf Breeze Hospital is $872. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,800. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.58x the Medicare baseline. Located in 1110 Gulf Breeze Pkwy, Gulf Breeze, FL.

Cash / Self-Pay

$1,800

Average discount available for prompt cash payment at this facility.

Insurance Median

$872

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: $1,800 (738%)

Insurance Median: $872 (358%)

Cash: $1,800 (738% of Medicare)

Ins. Median: $872 (358% 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 358% of the Medicare baseline (a markup of 258%). 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
Aetna	$206 - $8,760	85%
Cha Health Plan	$206	85%
UnitedHealthcare	$206 - $1,900	85%
Medicare (plans)	$211	87%
Humana	$216 - $247	89%
Sunshine Health	$216	89%
Wellcare	$216 - $255	89%
Fl Community Care Ltc	$220	90%
Simply Healthcare Healthy Kids	$237	97%
Hospice Covenant	$243	100%
Uwf Athletes	$330	135%
Fl Blue	$405 - $1,676	166%
Bc Fl	$1,043	428%
Pensacola	$1,800	738%
Wc Corvel	$3,507 - $11,400	1439%
Hospice Regency	$3,600	1477%
Cigna	$5,700 - $12,000	2338%
Hospice Emerald Coast	$6,000	2461%
Private Healthcare	$7,800	3200%
First Health	$8,340	3421%
Choicecare	$9,000	3692%
Multiplan	$10,680	4381%

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 $1,800.
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 Gulf Breeze 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.