CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: HCA Florida Palms West Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $4,437
  • Cash Discount Price: $29,346
  • vs. Medicare Baseline: 18.20x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at HCA Florida Palms West Hospital is $4,437. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29,346. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 18.20x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.
Cash / Self-Pay
$29,346

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,437

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: $29,346 (12038%)
Insurance Median: $4,437 (1820%)
Cash: $29,346 (12038% of Medicare)
Ins. Median: $4,437 (1820% 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 1820% of the Medicare baseline (a markup of 1720%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 - $13,206 212%
Healthy Palm Beaches $550 226%
Aetna $868 - $8,804 356%
Avmed $890 - $14,673 365%
Freedom Health $2,524 - $4,695 1035%
Optimum $2,524 1035%
Simply Healthcare Plans $3,815 1565%
Corvel Corporation $4,092 1679%
Careworks (Rockport) $4,178 1714%
Prime Health $4,178 1714%
Molina $5,576 - $7,923 2287%
Health Sun Health Plan $6,251 2564%
Aids Healthcare $6,456 - $35,215 2648%
Mmm Of Fl (Health Advantage Plan) $6,750 2769%
United Ppo $6,955 2853%
Sunshine State Health Plan $7,630 3130%
Health Care District $14,673 6019%
Palm Beach Juvenile Correction $14,673 6019%
Plotkin Health $14,673 6019%
Prime Health Sherriff $14,673 6019%
Medica Healthcare $17,021 6982%
Multiplan $22,010 - $24,944 9029%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13001 Southern Blvd, Loxahatchee, FL 33470
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals