CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Atrium Health Floyd Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,432
Cash Discount Price: $4,215
vs. Medicare Baseline: 4.02x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Atrium Health Floyd Medical Center is $1,432. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,215. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.02x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.

Cash / Self-Pay

$4,215

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,432

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: $4,215 (1183%)

Insurance Median: $1,432 (402%)

Cash: $4,215 (1183% of Medicare)

Ins. Median: $1,432 (402% 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 402% of the Medicare baseline (a markup of 302%). 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
Cigna	$250 - $5,057	70%
Blue Cross Blue Shield	$348 - $6,296	98%
Caresource	$348 - $1,439	98%
Georgia Assurance	$348	98%
Humana	$348 - $3,793	98%
UnitedHealthcare	$348 - $700	98%
Aetna	$351 - $5,732	98%
Wellcare	$355	100%
Clover	$358	100%
Alliant Health Plans	$522 - $873	146%
Ambetter / Centene	$522	146%
Occunet	$696	195%
Amerigroup	$1,425	400%
Peach State Health Plan	$1,439	404%
Awc Networks	$1,644	461%
Oscar Health Plan	$1,644 - $2,950	461%
Beacon	$4,214	1182%
Evernorth	$4,214	1182%
Multiplan	$5,900	1655%
Beech Street	$6,575	1845%
Private Health Care Systems	$7,165	2010%

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 $4,215.
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 Atrium Health Floyd Medical Center 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.