CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $590
  • Cash Discount Price: $2,104
  • vs. Medicare Baseline: 2.42x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Baptist Health Medical Center - Jacksonville is $590. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,104. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.42x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$2,104

Average discount available for prompt cash payment at this facility.

Insurance Median
$590

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: $2,104 (863%)
Insurance Median: $590 (242%)
Cash: $2,104 (863% of Medicare)
Ins. Median: $590 (242% 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 242% of the Medicare baseline (a markup of 142%). 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Corvel $117 - $3,032 48%
Coventry Workers Comp $117 - $3,032 48%
Amerigroup Of Georgia $207 85%
Caresource Of Georgia $207 - $2,011 85%
Daniel Memorial $207 85%
Humana $207 - $228 85%
Peach State Health Plan $207 - $2,011 85%
Simply Healthcare Plans $217 - $248 89%
Simply Healthcare Plans - Cha $217 89%
Amerihealth Caritas $228 94%
Florida Community Care $228 - $255 94%
Sunshine State Health Plan $228 94%
United Community Plan $228 94%
Vivida Health $228 94%
Community Hospice Of Northeast Florida $242 - $243 99%
Pace $242 - $243 99%
Tomorrow'S Rainbow $242 - $243 99%
Va Ccn $242 - $243 99%
UnitedHealthcare $244 - $2,597 100%
Molina Healthcare Of Florida $246 101%
Aetna $247 - $2,475 101%
Devoted $256 - $257 105%
Upmc $266 - $267 109%
Blue Cross Blue Shield $453 - $2,011 186%
Non-Contracted $464 190%
Avmed $549 - $656 225%
Ambetter / Centene $580 - $582 238%
Centivo $595 - $2,630 244%
Nemours Research $983 403%
Cigna $1,207 - $1,887 495%
Borland Groover $1,238 508%
Occunet $1,238 - $1,547 508%
Northeast Florida State Hospital $1,299 - $1,454 533%
Capital Health Plan $1,423 584%
Innovative Healthware Services $1,454 596%
Geo Group $1,547 635%
Volusia Health Network $1,702 698%
Watchtower $1,702 698%
Fscj Student Insurance $1,856 761%
Suddath Company $1,949 800%
Medicaid / KanCare $2,011 825%
Uf Health Proton Therapy Institute $2,166 889%
Phcs $2,320 - $2,475 952%
Evolutions Healthcare $2,785 1142%
Multiplan $2,785 1142%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals