CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Baldwin Health

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $466
  • Cash Discount Price: $1,128
  • vs. Medicare Baseline: 1.91x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Baldwin Health is $466. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,128. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.91x the Medicare baseline. Located in 1613 North McKenzie Street, Foley, AL.
Cash / Self-Pay
$1,128

Average discount available for prompt cash payment at this facility.

Insurance Median
$466

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: $1,128 (463%)
Insurance Median: $466 (191%)
Cash: $1,128 (463% of Medicare)
Ins. Median: $466 (191% 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
Medicaid / KanCare $127 52%
Veterans Eval Services $210 86%
Tricare $215 88%
Triwest $222 91%
Blue Cross Blue Shield $223 - $436 91%
Humana $223 91%
Medicare (plans) $223 91%
UnitedHealthcare $223 - $466 91%
Windsor Health Plan $223 91%
Community Hospice $226 93%
Hospice $226 93%
Mercy Medical Hospice $226 93%
Node Champva $226 93%
Node Va $226 93%
Cigna $227 - $854 93%
Node Devoted Health Mcr Adv $227 93%
Aetna $229 - $4,229 94%
Node Clover Health Mcr Adv $229 94%
Select Health $229 94%
Node Wellcare Mcr Adv $231 95%
Us Dol $283 116%
Ambetter / Centene $340 139%
First Choice $367 151%
Alamed $600 246%
Self Pay $846 - $1,410 347%
American Employee Alliance $1,880 771%
Multiplan $2,678 - $3,853 1099%
First Health $3,524 - $3,794 1446%
Multiplan Inc $3,595 1475%
Coventry Work Comp Al $3,674 1507%
One Health $3,759 1542%
Pro America $3,759 1542%
Novanet $3,794 1556%
Alabama Wc $3,994 1638%
Gulf Health $3,994 1638%
Principal Ppo $3,994 1638%
Viva Health $3,994 1638%
National Health $4,229 1735%
Galaxy $4,276 1754%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1613 North McKenzie Street, Foley, AL 36535
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals