CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Gulf Breeze Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $872
Cash Discount Price: $2,100
vs. Medicare Baseline: 2.45x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Gulf Breeze Hospital is $872. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,100. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.45x the Medicare baseline. Located in 1110 Gulf Breeze Pkwy, Gulf Breeze, FL.

Cash / Self-Pay

$2,100

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

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $2,100 (589%)

Insurance Median: $872 (245%)

Cash: $2,100 (589% of Medicare)

Ins. Median: $872 (245% 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 245% of the Medicare baseline (a markup of 145%). 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 - $10,220	58%
Cha Health Plan	$206	58%
UnitedHealthcare	$206 - $1,900	58%
Humana	$216 - $366	61%
Sunshine Health	$216	61%
Wellcare	$216 - $376	61%
Fl Community Care Ltc	$220	62%
Simply Healthcare Healthy Kids	$237	66%
Medicare (plans)	$338	95%
Hospice Covenant	$358	100%
Uwf Athletes	$395	111%
Fl Blue	$599 - $1,676	168%
Bc Fl	$1,043	293%
Pensacola	$2,100	589%
Wc Corvel	$4,077 - $13,300	1144%
Hospice Regency	$4,200	1178%
Cigna	$6,650 - $14,000	1866%
Hospice Emerald Coast	$7,000	1964%
Private Healthcare	$9,100	2553%
First Health	$9,730	2730%
Choicecare	$10,500	2946%
Multiplan	$12,460	3496%

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 $2,100.
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 Gulf Breeze 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.