CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Florida Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $4,530
  • Cash Discount Price: $15,409
  • vs. Medicare Baseline: 12.71x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Florida Memorial Hospital is $4,530. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,409. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 12.71x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.
Cash / Self-Pay
$15,409

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,530

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: $15,409 (4323%)
Insurance Median: $4,530 (1271%)
Cash: $15,409 (4323% of Medicare)
Ins. Median: $4,530 (1271% 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 1271% of the Medicare baseline (a markup of 1171%). 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
Aetna $716 - $4,623 201%
Avmed $825 - $1,863 231%
United $828 - $6,934 232%
Optimum Healthcare $1,294 363%
Simply Healthcare $2,373 666%
Positive Healthcare $3,390 951%
Sunshine State Health Plan $3,929 1102%
Molina Healthcare $4,160 1167%
City Of Jacksonville $4,530 1271%
Corvel Corporation $4,530 1271%
Prime Health $4,625 1298%
Plotkin Health $7,704 2161%
Multiplan $12,019 - $13,098 3372%
Evernorth $12,327 3458%
Evolutions Healthcare $12,327 - $13,098 3458%
Ppo Next $13,098 3675%
Novanet $13,868 3891%

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