CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Baycare Hospital Wesley Chapel

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $2,950
  • Cash Discount Price: $4,532
  • vs. Medicare Baseline: 8.28x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Baycare Hospital Wesley Chapel is $2,950. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,532. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 8.28x the Medicare baseline. Located in 4501 Bruce B Downs Blvd, Wesley Chapel, FL.
Cash / Self-Pay
$4,532

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,950

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: $4,532 (1271%)
Insurance Median: $2,950 (828%)
Cash: $4,532 (1271% of Medicare)
Ins. Median: $2,950 (828% 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 828% of the Medicare baseline (a markup of 728%). 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
Clear Health Alliance $209 59%
UnitedHealthcare $211 - $6,798 59%
Humana $215 - $448 60%
Freedom Health $217 61%
Molina Healthcare $217 61%
Simply Healthcare $217 - $1,360 61%
Sunshine Health $217 61%
Aetna $221 - $6,156 62%
Florida Community Care $228 64%
Baycareplus $358 100%
Blue Cross Blue Shield $358 - $3,997 100%
Solis Health $394 111%
Cigna $412 - $6,571 116%
Wellcare $502 141%
Ambetter / Centene $807 - $7,553 226%
Molina $1,360 - $4,464 382%
Freedom $1,511 424%
Optimum $1,511 424%
Careplus $1,726 484%
Ultimate Health Plan $2,266 636%
Avmed $2,341 - $3,701 657%
Evolutions $3,776 - $7,024 1059%
First Health $6,420 1801%
Multiplan $6,798 1907%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4501 Bruce B Downs Blvd, Wesley Chapel, FL 33544
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals