CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Atrium Health Navicent the Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $236
  • Cash Discount Price: $2,478
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Atrium Health Navicent the Medical Center is $236. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,478. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.97x the Medicare baseline. Located in 777 Hemlock Street, Macon, GA.
Cash / Self-Pay
$2,478

Average discount available for prompt cash payment at this facility.

Insurance Median
$236

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: $2,478 (1017%)
Insurance Median: $236 (97%)
Cash: $2,478 (1017% of Medicare)
Ins. Median: $236 (97% 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
Aetna $77 - $3,420 32%
Blue Cross Blue Shield $77 - $236 32%
Georgia Health Advantage $77 - $236 32%
Humana $77 - $3,405 32%
UnitedHealthcare $77 - $1,422 32%
Care Source $79 - $240 32%
Clover $79 - $240 32%
Eon Health $79 - $240 32%
Kaiser $80 - $3,221 33%
Pruitt Health $81 - $236 33%
Alliant $93 - $283 38%
Ambetter / Centene $104 - $2,528 43%
Cigna $197 - $464 81%
Securehealth $670 - $1,735 275%
Multiplan $3,221 - $3,965 1321%
Ibg $3,504 1437%
Novanet $3,965 1627%
Three Rivers Provider Network $4,213 1728%
Beechstreet $4,609 1891%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 777 Hemlock Street, Macon, GA 31201
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals