CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: HCA Florida Poinciana Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $8,186
Cash Discount Price: $25,988
vs. Medicare Baseline: 33.58x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at HCA Florida Poinciana Hospital is $8,186. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25,988. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 33.58x the Medicare baseline. Located in 325 Cypress Pkwy, Kissimmee, FL.

Cash / Self-Pay

$25,988

Average discount available for prompt cash payment at this facility.

Insurance Median

$8,186

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: $25,988 (10661%)

Insurance Median: $8,186 (3358%)

Cash: $25,988 (10661% of Medicare)

Ins. Median: $8,186 (3358% 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 3358% of the Medicare baseline (a markup of 3258%). 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 - $12,279	212%
Avmed	$887 - $13,643	364%
Aetna	$1,186 - $8,186	487%
Freedom Health	$1,815 - $1,965	745%
Optimum	$1,815 - $1,965	745%
Simply	$3,882 - $4,202	1592%
Corvel Corporation	$3,903	1601%
Prime Health	$3,986	1635%
Careworks (Rockport Community)	$4,109	1686%
Molina Healthcare	$4,789 - $7,367	1965%
Sunshine State Health Plan	$6,427 - $6,958	2637%
Plotkin Health	$12,603 - $13,643	5170%
Prime Health Sheriff	$12,603 - $13,643	5170%
Multiplan	$18,904 - $23,194	7755%

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 $25,988.
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 Poinciana 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.