CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: HCA Florida Englewood Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $3,943
Cash Discount Price: $20,754
vs. Medicare Baseline: 16.18x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at HCA Florida Englewood Hospital is $3,943. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20,754. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 16.18x the Medicare baseline. Located in 700 Medical Blvd, Englewood, FL.

Cash / Self-Pay

$20,754

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,943

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: $20,754 (8514%)

Insurance Median: $3,943 (1618%)

Cash: $20,754 (8514% of Medicare)

Ins. Median: $3,943 (1618% 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 1618% of the Medicare baseline (a markup of 1518%). 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 - $9,339	212%
Avmed	$738 - $1,863	303%
Aetna	$848 - $6,226	348%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$975	400%
Access 2 Healthcare Physicians Freedom Health	$1,494	613%
Access 2 Healthcare Physicians Optimum	$1,494	613%
Freedom Health Care	$1,619	664%
Optimum Healthcare	$1,619	664%
Simply Healthcare	$3,196	1311%
Molina	$3,943 - $5,604	1618%
Corvel Corporation	$3,956	1623%
Rockport Healthcare Group	$3,956	1623%
Prime Health	$4,040	1657%
Sunshine State Health Plan	$5,292	2171%
Behealthy America	$8,094	3320%
Evolutions Healthcare Systems	$10,377 - $19,094	4257%
Plotkin Health	$10,377	4257%
Prime Health Sheriff	$10,377	4257%
Multiplan	$15,566 - $17,641	6386%

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 $20,754.
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 Englewood 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.