CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: USA Health Children's & Women's Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,085
Cash Discount Price: $2,169
vs. Medicare Baseline: 3.04x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at USA Health Children's & Women's Hospital is $1,085. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,169. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.04x the Medicare baseline. Located in 1700 Center Street, Mobile, AL.

Cash / Self-Pay

$2,169

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,085

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: $2,169 (609%)

Insurance Median: $1,085 (304%)

Cash: $2,169 (609% of Medicare)

Ins. Median: $1,085 (304% 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 304% of the Medicare baseline (a markup of 204%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Central Healthcare Services	$134 - $3,108	38%
Magnolia Health	$285	80%
Truecare	$285	80%
UnitedHealthcare	$285 - $3,356	80%
Blue Cross Blue Shield	$294	82%
Aetna	$300 - $500	84%
Devoted Health	$300 - $4,350	84%
Humana	$300 - $4,040	84%
Viva Health	$300 - $3,108	84%
Wellcare	$300	84%
Molina Chip	$313	88%
Molina Marketplace	$330	93%
Ambetter / Centene	$360	101%
Mississippi Physicians Care Network (Mpcn)	$405	114%
Cigna	$450 - $4,040	126%
Multiplan	$1,410 - $4,350	396%
Novanet	$1,952 - $5,594	548%

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 $2,169.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm USA Health Children's & Women's Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.