CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Saint Joseph's Hospital of Atlanta, Inc

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $257
  • Cash Discount Price: $2,202
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Saint Joseph's Hospital of Atlanta, Inc is $257. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,202. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.05x the Medicare baseline. Located in 5665 Peachtree Dunwoody Road, Atlanta, GA.
Cash / Self-Pay
$2,202

Average discount available for prompt cash payment at this facility.

Insurance Median
$257

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: $2,202 (903%)
Insurance Median: $257 (105%)
Cash: $2,202 (903% of Medicare)
Ins. Median: $257 (105% 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
Oscar Health $199 82%
Devoted Health $242 99%
Blue Cross Blue Shield $245 101%
Aetna $247 - $655 101%
Cigna $250 103%
Clover Health $254 104%
Wellcare $257 105%
Ambetter / Centene $514 211%
UnitedHealthcare $583 239%
Kaiser $711 292%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5665 Peachtree Dunwoody Road, Atlanta, GA 30342
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals