CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Medical Center Enterprise

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $451
  • Cash Discount Price: $5,018
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Medical Center Enterprise is $451. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,018. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.27x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$5,018

Average discount available for prompt cash payment at this facility.

Insurance Median
$451

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: $5,018 (1408%)
Insurance Median: $451 (127%)
Cash: $5,018 (1408% of Medicare)
Ins. Median: $451 (127% 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.

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
Al Maternity Waiver Program $183 51%
Medicaid / KanCare $205 - $242 58%
Blue Cross Blue Shield $296 - $417 83%
Humana $296 83%
Medicare (plans) $296 83%
UnitedHealthcare $296 - $764 83%
Select Health $299 84%
Covenant Hospice $301 84%
Dayspring Hospice $301 84%
Node Hospice Non Par $301 84%
Node Va $301 84%
Southerncare Hospice $301 84%
Healthspring $302 85%
Node Devoted Health Mcr Adv $302 85%
Node Clover Mcr Adv $304 85%
Aetna $305 - $18,014 86%
Node Wellcare Mcr Adv $307 86%
Veterans Eval Services $310 87%
Eon Health $311 87%
Wiregrass Hospice $319 89%
Node Us Dept Of Labor $376 105%
Ambetter / Centene $451 127%
Cigna $511 - $3,189 143%
Occunet $526 148%
Self Pay $2,316 - $7,720 650%
Tricare $3,850 1080%
Node Champva $4,052 1137%
American Employee Alliance $10,294 2888%
Alamed $15,441 4332%
Affordable Health $18,014 5054%
Health Choice $18,014 5054%
Novanet Ppo $18,014 5054%
Coventry Work Comp Al $18,941 5314%
Multiplan $19,044 - $20,331 5343%
Wc Dept Ind Relations $20,588 5776%
Corvel $21,875 6137%
Galaxy Health $23,161 6498%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals