CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Ascension St Vincent's Clay County

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $303
  • Cash Discount Price: $647
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Ascension St Vincent's Clay County is $303. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $647. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.24x the Medicare baseline. Located in 1670 St Vincents Way, Middleburg, FL.
Cash / Self-Pay
$647

Average discount available for prompt cash payment at this facility.

Insurance Median
$303

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: $647 (265%)
Insurance Median: $303 (124%)
Cash: $647 (265% of Medicare)
Ins. Median: $303 (124% 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.

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
Humana $235 - $245 96%
Bc Advantage Mcr Replacement $243 100%
Blue Cross Blue Shield $243 100%
Community Hospice $243 100%
Coventry Mcr Replacement Hmo $243 100%
Haven Hospice $243 100%
Medicare (plans) $243 - $247 100%
Research Study Encore Borland-Groover $243 100%
Veterans Administration $243 100%
Wellcare $243 100%
Cigna $245 - $647 101%
UnitedHealthcare $245 - $525 101%
Careplus Mcr Replacement $247 101%
Aetna $250 - $764 103%
Inmate Health Care $303 124%
Bright Health $328 - $352 135%
Smarthealth $340 139%
Oscar Health Plan $388 159%
Employer Direct Healthcare $425 174%
90 Degree Benefits $437 179%
Avmed Exchange $437 179%
Molina Exchange $449 184%
Occunet $449 - $546 184%
Ambetter / Centene $461 189%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1670 St Vincents Way, Middleburg, FL 32068
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals