CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,998
Cash Discount Price: $5,203
vs. Medicare Baseline: 5.61x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is $1,998. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,203. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.61x the Medicare baseline. Located in 12902 Magnolia Dr, Tampa, FL.

Cash / Self-Pay

$5,203

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,998

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: $5,203 (1460%)

Insurance Median: $1,998 (561%)

Cash: $5,203 (1460% of Medicare)

Ins. Median: $1,998 (561% 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 561% of the Medicare baseline (a markup of 461%). 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
Simply	$50	14%
United Hc	$52 - $10,406	15%
Blue Cross Blue Shield	$84 - $7,820	24%
Aetna	$85 - $5,723	24%
Devoted	$85 - $2,198	24%
Humana	$85 - $6,764	24%
Careplus	$89 - $2,098	25%
Baycare	$91 - $2,098	26%
Freedom Health	$94 - $234	26%
Health First	$94 - $5,723	26%
Optimum	$94 - $234	26%
Evolutions	$100 - $8,325	28%
Avmed	$119 - $6,244	33%
Cigna	$120 - $6,244	34%
Multiplan	$136 - $8,325	38%
Molina	$2,040	572%
Emerging Therapies	$6,244	1752%
UnitedHealthcare	$6,244	1752%
First Health	$7,804	2189%

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 $5,203.
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 H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. 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.