CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Grady Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $355
Cash Discount Price: $10,272
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Grady Memorial Hospital is $355. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,272. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.00x the Medicare baseline. Located in 80 Jesse Hill, Jr Drive Se, Atlanta, GA.

Cash / Self-Pay

$10,272

Average discount available for prompt cash payment at this facility.

Insurance Median

$355

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: $10,272 (2882%)

Insurance Median: $355 (100%)

Cash: $10,272 (2882% of Medicare)

Ins. Median: $355 (100% 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.

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
Amerigroup	$75 - $1,670	21%
Caresource	$75 - $1,533	21%
Peach State	$75 - $1,533	21%
Aetna	$84 - $4,571	24%
Ambetter / Centene	$84 - $1,520	24%
Blue Cross Blue Shield	$84 - $8,218	24%
Cigna	$84 - $6,076	24%
Humana	$84 - $355	24%
Kaiser	$84 - $7,786	24%
Medicare (plans)	$84 - $355	24%
UnitedHealthcare	$84 - $7,396	24%
Vaccn	$84 - $355	24%
Wellcare	$84 - $355	24%
Clear Spring Health	$88 - $373	25%
Clover	$88 - $373	25%
Usp Naphcare	$92 - $6,163	26%
Oscar Health	$117 - $6,677	33%
Multiplan	$7,909	2219%

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 $10,272.
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 Grady Memorial 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.