CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Baptist Medical Center - Nassau

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $1,145
  • Cash Discount Price: $1,918
  • vs. Medicare Baseline: 4.70x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Baptist Medical Center - Nassau is $1,145. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,918. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.70x the Medicare baseline. Located in 1250 S 18Th St, Fernandina Beach, FL.
Cash / Self-Pay
$1,918

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,145

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: $1,918 (787%)
Insurance Median: $1,145 (470%)
Cash: $1,918 (787% of Medicare)
Ins. Median: $1,145 (470% 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 470% of the Medicare baseline (a markup of 370%). 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
Corvel $117 - $3,032 48%
Coventry Workers Comp $117 - $3,032 48%
Amerigroup Of Georgia $207 85%
Daniel Memorial $207 85%
Humana $207 85%
Nassaua County Sheriff'S Office $207 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 $243 100%
Pace $243 100%
Tomorrow'S Rainbow $243 100%
Va Ccn $243 100%
UnitedHealthcare $245 - $1,519 101%
Molina Healthcare Of Florida $246 101%
Aetna $247 - $2,475 101%
Devoted $257 105%
Upmc $267 110%
Avmed $549 - $2,320 225%
Ambetter / Centene $582 239%
Centivo $595 - $2,630 244%
Blue Cross Blue Shield $897 - $2,011 368%
Borland Groover $1,238 508%
Occunet $1,238 508%
Northeast Florida State Hospital $1,299 533%
Capital Health Plan $1,423 584%
Geo Group $1,547 635%
Watchtower $1,702 698%
Fscj Student Insurance $1,856 761%
Savannah Grand Of Amelia Island $1,856 761%
Cigna $1,918 - $2,364 787%
Suddath Company $1,949 800%
Medicaid / KanCare $2,011 825%
Peach State Health Plan $2,011 825%
Phcs $2,320 952%
Evolutions Healthcare $2,785 1142%
Multiplan $2,785 1142%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1250 S 18Th St, Fernandina Beach, FL 32034
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals