CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Medstar Georgetown University Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $1,087
Cash Discount Price: $2,769
vs. Medicare Baseline: 4.46x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Medstar Georgetown University Hospital is $1,087. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,769. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.46x the Medicare baseline. Located in 3800 Reservoir Rd, Washington, DC.

Cash / Self-Pay

$2,769

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,087

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: $2,769 (1136%)

Insurance Median: $1,087 (446%)

Cash: $2,769 (1136% of Medicare)

Ins. Median: $1,087 (446% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 446% of the Medicare baseline (a markup of 346%). 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
Carefirst Advantage Inc	$282	116%
Tricare	$282	116%
UnitedHealthcare	$282 - $1,491	116%
Aetna	$290 - $2,726	119%
Health Care Service Corporation	$296	121%
Humana	$296	121%
Blue Cross Blue Shield	$510	209%
Amerigroup	$693	284%
Amerihealth Caritas District Of Columbia	$693	284%
Hscsn	$693	284%
Medstar Family Choice Inc	$693 - $1,193	284%
Cigna	$1,087	446%
Pfc	$2,769	1136%
Carefirst Blue Choice Inc	$2,788	1144%
Private Healthcare Systems (Phcs)	$3,408	1398%
First Health	$3,621	1485%
Beech Street	$3,834	1573%

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 $2,769.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medstar Georgetown University Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.