CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Flowers Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $764
  • Cash Discount Price: $3,926
  • vs. Medicare Baseline: 2.14x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Flowers Hospital is $764. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,926. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.14x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$3,926

Average discount available for prompt cash payment at this facility.

Insurance Median
$764

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: $3,926 (1101%)
Insurance Median: $764 (214%)
Cash: $3,926 (1101% of Medicare)
Ins. Median: $764 (214% 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 214% of the Medicare baseline (a markup of 114%). 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
Medicaid / KanCare $205 - $242 58%
Alabama Rehab $242 68%
Veterans Eval Services $310 87%
Tricare $319 89%
Blue Cross Blue Shield $331 - $463 93%
Humana $331 93%
Medicare (plans) $331 93%
Node Viva Mcr Adv $331 93%
UnitedHealthcare $331 - $764 93%
Select Health $334 94%
Compassionate Hands $336 94%
Covenant Hospice $336 94%
Dayspring Hospice $336 94%
Node Champva $336 94%
Node Hospice Non Par $336 94%
Node Va $336 94%
Southern Care Hospice $336 94%
Vistacare Hospice $336 94%
Wiregrass Hospice $336 94%
Care Improvement Plus $337 95%
Cigna $337 - $1,296 95%
Node Devoted Health Mcr Adv $337 95%
Node Clover Health Mcr Adv $339 95%
Aetna $341 - $12,738 96%
Node Wellcare Mcr Adv $343 96%
Eon Health Care $347 97%
Prime Health $354 - $12,310 99%
Occunet $375 105%
Node Us Dept Of Labor $420 118%
Alamed Wc $450 126%
Ambetter / Centene $504 141%
Choicecare Commercial $650 182%
Multiplan $1,164 - $13,959 327%
Self Pay $2,617 - $5,235 734%
S & S Healthcare $4,362 1224%
American Employee Alliance $6,980 1958%
Coventry Healthcare $8,724 - $13,324 2448%
Viva Health $10,469 2937%
Standard Textile $12,214 3427%
Health Choice $12,738 3574%
Equian $13,087 - $13,759 3672%
Qhp $13,087 3672%
Novanet $13,959 3916%
Alabama Work Comp $14,483 4063%
Ccn/Mednet Ppo $14,832 4161%
Corvel $14,832 4161%
Industry Buying Group $14,832 4161%
Galaxy Health $15,704 4406%
Health Payors Org $15,704 4406%
National Provider Net $15,704 4406%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4370 West Main Street, Dothan, AL 36302
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals