CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Navicent Health Baldwin

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $348
Cash Discount Price: $1,698
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Navicent Health Baldwin is $348. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,698. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.98x the Medicare baseline. Located in 821 North Cobb Street, Milledgeville, GA.

Cash / Self-Pay

$1,698

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: $1,698 (476%)

Insurance Median: $348 (98%)

Cash: $1,698 (476% 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.

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
Aetna	$81 - $2,819	23%
Blue Cross Blue Shield	$81 - $2,547	23%
Georgia Health Advantage	$81 - $348	23%
Humana	$81 - $2,887	23%
UnitedHealthcare	$81 - $2,193	23%
Care Source	$83 - $355	23%
Clover	$83 - $355	23%
Eon Health	$83 - $355	23%
Pruitt Health	$85 - $348	24%
Alliant	$98 - $812	27%
Ambetter / Centene	$110 - $1,732	31%
Cigna	$206 - $2,615	58%
Securehealth	$1,026 - $1,189	288%
Multiplan	$2,207 - $2,717	619%
Novanet	$2,717	762%
Three Rivers Provider Network	$2,887	810%

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 $1,698.
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 Navicent Health Baldwin 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.