CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: St Vincent's Birmingham

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $653
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.83x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at St Vincent's Birmingham is $653. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.83x the Medicare baseline. Located in 810 St Vincent's Drive, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$653

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%)
Insurance Median: $653 (183%)
Ins. Median: $653 (183% 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
Cigna $206 - $329 58%
Ambetter / Centene $269 - $439 75%
Blue Cross Blue Shield $306 86%
Cooper Green $319 89%
UnitedHealthcare $319 - $736 89%
Humana $322 - $570 90%
Aetna $329 - $750 92%
Prime Health Services $335 - $6,058 94%
Seven Corners $431 121%
Viva $4,319 1212%
Construction Claims Management $5,201 1459%
Corvel $5,201 1459%
Alamed $5,507 1545%
Comp One $5,507 1545%
Multiplan $5,759 1616%
Pnoa $5,759 1616%
Novanet $6,119 1717%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 810 St Vincent's Drive, Birmingham, AL 35205
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals