CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Villages Regional Hospital, The

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $264
Cash Discount Price: $1,260
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Villages Regional Hospital, The is $264. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,260. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.08x the Medicare baseline. Located in 1451 El Camino Real, The Villages, FL.

Cash / Self-Pay

$1,260

Average discount available for prompt cash payment at this facility.

Insurance Median

$264

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: $1,260 (517%)

Insurance Median: $264 (108%)

Cash: $1,260 (517% of Medicare)

Ins. Median: $264 (108% 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.

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
Humana	$207 - $1,031	85%
Simply Healthcare	$207	85%
Sunshine State	$234	96%
Careplus	$252 - $259	103%
UnitedHealthcare	$252	103%
Wellcare	$255	105%
Freedom Health	$262	107%
Aetna	$267 - $1,534	110%
Ultimate Health	$267	110%
Blue Cross Blue Shield	$1,279 - $1,376	525%
Cigna	$1,588	651%
Mulitplan	$1,902	780%

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 $1,260.
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 Villages Regional Hospital, The 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.