CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Atrium Health Navicent the Medical Center

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$289

about 0.8× the $356 Medicare rate · typically $287–$488

modeled estimate · not a bill or quote

What this hospital charges insurers

$270

About the fair price

about $19 under the fair price · 0.8× Medicare

Medicare pays $356 Fair price $289 This hospital $270 Cash price $3,464 Hospital's list price $6,928

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

A typical price — 2 charge more and 4 charge less, among the 9 GA hospitals compared.

Cheapest $224 Priciest $289

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $289 (about 0.8× the $356 Medicare rate). Atrium Health Navicent the Medical Center charges insurers about $270, or about $3,464 in cash — about the fair price. Located in Macon, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$81 - $1,422	23%
Blue Cross Blue Shieldmajor	$81 - $348	23%
Aetnamajor	$81 - $4,780	23%
Cignamajor	$206 - $890	58%
Humanamajor	$81 - $4,760	23%
Kaiser Permanentemajor	$278 - $4,503	78%
Ambetter (Centene)	$110 - $3,533	31%
Clover Health	$83 - $355	23%
+ 9 smaller / regional plans	$81 - $6,443

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 3,464), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74177.

Insurance Before you use insurance

Call your insurance company to confirm Atrium Health Navicent the Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 74177.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Atrium Health Navicent the Medical Center

Compare: CT scan, abdomen and pelvis (with contrast) at other GA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.