CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Doctors Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $3,487
Cash Discount Price: $5,964
vs. Medicare Baseline: 9.78x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Doctors Hospital is $3,487. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,964. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 9.78x the Medicare baseline. Located in 5000 University Dr, Coral Gables, FL.

Cash / Self-Pay

$5,964

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,487

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: $5,964 (1673%)

Insurance Median: $3,487 (978%)

Cash: $5,964 (1673% of Medicare)

Ins. Median: $3,487 (978% 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 978% of the Medicare baseline (a markup of 878%). 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
Amerigroup	$197	55%
Medicaid / KanCare	$197 - $217	55%
UnitedHealthcare	$207 - $9,176	58%
Wellcare	$207	58%
Sunshine State	$209	59%
Aetna	$213 - $7,341	60%
Vista	$213	60%
Medicare (plans)	$364 - $492	102%
Blue Cross Blue Shield	$377 - $5,946	106%
Medica Health Plan	$390	109%
Humana	$397	111%
Avmed	$401 - $4,542	113%
Leon Medical	$408	114%
Cigna	$415 - $7,341	116%
Non Contracted	$3,368	945%
Amerihealth	$4,129	1158%
International	$5,964	1673%
Dimension Health Plan	$6,882 - $8,258	1931%
Affordable	$7,800	2188%
Phcs	$8,258	2317%
Quality Health	$8,258	2317%

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 $5,964.
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 Doctors 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.