CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Atrium Health Navicent the Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $348
  • Cash Discount Price: $3,464
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Atrium Health Navicent the Medical Center is $348. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,464. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.98x the Medicare baseline. Located in 777 Hemlock Street, Macon, GA.
Cash / Self-Pay
$3,464

Average discount available for prompt cash payment at this facility.

Insurance Median
$348

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: $3,464 (972%)
Insurance Median: $348 (98%)
Cash: $3,464 (972% of Medicare)
Ins. Median: $348 (98% 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.

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 $81 - $4,780 23%
Blue Cross Blue Shield $81 - $348 23%
Georgia Health Advantage $81 - $348 23%
Humana $81 - $4,760 23%
UnitedHealthcare $81 - $1,422 23%
Care Source $83 - $355 23%
Clover $83 - $355 23%
Eon Health $83 - $355 23%
Pruitt Health $85 - $348 24%
Alliant $98 - $418 27%
Ambetter / Centene $110 - $3,533 31%
Cigna $206 - $890 58%
Kaiser $278 - $4,503 78%
Securehealth $1,026 - $2,425 288%
Multiplan $4,503 - $5,542 1263%
Ibg $4,898 1374%
Novanet $5,542 1555%
Three Rivers Provider Network $5,889 1652%
Beechstreet $6,443 1808%

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