CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Baptist Medical Center - Nassau

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,600
  • Cash Discount Price: $2,682
  • vs. Medicare Baseline: 4.49x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Baptist Medical Center - Nassau is $1,600. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,682. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.49x the Medicare baseline. Located in 1250 S 18Th St, Fernandina Beach, FL.
Cash / Self-Pay
$2,682

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,600

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: $2,682 (752%)
Insurance Median: $1,600 (449%)
Cash: $2,682 (752% of Medicare)
Ins. Median: $1,600 (449% 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 449% of the Medicare baseline (a markup of 349%). 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
Amerigroup Of Georgia $207 58%
Daniel Memorial $207 58%
Humana $207 58%
Nassaua County Sheriff'S Office $207 58%
Simply Healthcare Plans $217 - $248 61%
Simply Healthcare Plans - Cha $217 61%
Amerihealth Caritas $228 64%
Florida Community Care $228 - $376 64%
Sunshine State Health Plan $228 64%
United Community Plan $228 64%
Vivida Health $228 64%
Corvel $244 - $4,238 68%
Coventry Workers Comp $244 - $4,238 68%
Molina Healthcare Of Florida $246 69%
Aetna $248 - $3,460 70%
Community Hospice Of Northeast Florida $358 100%
Pace $358 100%
Tomorrow'S Rainbow $358 100%
Va Ccn $358 100%
UnitedHealthcare $362 - $2,124 102%
Devoted $380 107%
Upmc $394 111%
Avmed $549 - $3,244 154%
Centivo $595 - $3,676 167%
Ambetter / Centene $860 241%
Blue Cross Blue Shield $1,254 - $2,811 352%
Borland Groover $1,730 485%
Occunet $1,730 485%
Northeast Florida State Hospital $1,816 509%
Capital Health Plan $1,990 558%
Geo Group $2,162 607%
Watchtower $2,379 667%
Fscj Student Insurance $2,595 728%
Savannah Grand Of Amelia Island $2,595 728%
Cigna $2,682 - $3,304 752%
Suddath Company $2,725 765%
Medicaid / KanCare $2,811 789%
Peach State Health Plan $2,811 789%
Phcs $3,244 910%
Evolutions Healthcare $3,892 1092%
Multiplan $3,892 1092%

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