CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Jay Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $442
Cash Discount Price: $255
vs. Medicare Baseline: 1.81x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Jay Hospital is $442. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $255. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.81x the Medicare baseline. Located in 14114 Alabama St, Jay, FL.

Cash / Self-Pay

$255

Average discount available for prompt cash payment at this facility.

Insurance Median

$442

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: $255 (105%)

Insurance Median: $442 (181%)

Cash: $255 (105% of Medicare)

Ins. Median: $442 (181% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Wellcare	$53 - $374	22%
Aetna	$206 - $811	85%
Cha Health Plan	$206	85%
Simply Healthcare Healthy Kids	$206	85%
Humana	$216 - $374	89%
Staywell	$216	89%
Sunshine Health	$216	89%
Medicare (plans)	$221	91%
UnitedHealthcare	$316 - $1,890	130%
Fl Community Care Ltc	$338	139%
Bc Fl	$374	153%
Fl Blue	$510 - $1,504	209%
Hospice Emerald Coast	$850	349%
Hospice Regency	$850	349%
Hospice Vitas	$850	349%
Cigna	$944 - $1,700	387%
Private Healthcare	$1,105	453%
First Health	$1,205	494%
Multiplan	$1,513	621%
Wc Corvel	$1,615 - $3,507	663%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $255.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Jay Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.