CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Nemours Childrens Hospital, Florida

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,908
Cash Discount Price: $3,357
vs. Medicare Baseline: 5.35x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Nemours Childrens Hospital, Florida is $1,908. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,357. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.35x the Medicare baseline. Located in 6535 Nemours Pkwy, Orlando, FL.

Cash / Self-Pay

$3,357

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,908

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: $3,357 (942%)

Insurance Median: $1,908 (535%)

Cash: $3,357 (942% of Medicare)

Ins. Median: $1,908 (535% 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 535% of the Medicare baseline (a markup of 435%). 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
Tricare	$358	100%
Aetna	$630	177%
Avmed	$795	223%
Evolutions Healthcare	$927	260%
Employers Health Network Fl	$1,343	377%
Florida Blue	$1,343 - $3,556	377%
Truli	$1,343 - $1,687	377%
UnitedHealthcare	$1,426	400%
Cigna	$1,443	405%
Integra Administrative Group	$2,014	565%
Global Medical Management	$2,182	612%
Prime Health Services	$2,182	612%
Star Healthcare Network	$2,182	612%
Velocity	$2,518	706%
First Health Network	$2,618	735%
Pnoa	$2,686	754%
Seminole Tribe Of Fl	$2,686	754%
Private Healthcare Systems	$3,088	866%

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 $3,357.
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 Nemours Childrens Hospital, Florida 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.