CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: HCA Florida Memorial Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $3,897
  • Cash Discount Price: $14,681
  • vs. Medicare Baseline: 15.99x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at HCA Florida Memorial Hospital is $3,897. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,681. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 15.99x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.
Cash / Self-Pay
$14,681

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,897

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: $14,681 (6022%)
Insurance Median: $3,897 (1599%)
Cash: $14,681 (6022% of Medicare)
Ins. Median: $3,897 (1599% 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 1599% of the Medicare baseline (a markup of 1499%). 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
United $518 - $6,606 212%
Aetna $716 - $4,404 294%
Avmed $825 - $1,863 338%
Optimum Healthcare $1,233 506%
Simply Healthcare $2,261 928%
Positive Healthcare $3,230 1325%
Sunshine State Health Plan $3,744 1536%
City Of Jacksonville $3,897 1599%
Corvel Corporation $3,897 1599%
Molina Healthcare $3,964 1626%
Prime Health $3,979 1632%
Plotkin Health $7,340 3011%
Multiplan $11,451 - $12,479 4697%
Evernorth $11,745 4818%
Evolutions Healthcare $11,745 - $12,479 4818%
Ppo Next $12,479 5119%
Novanet $13,213 5420%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3625 University Blvd S, Jacksonville, FL 32216
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals