CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Southern Regional Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $359
  • Cash Discount Price: $348
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Southern Regional Medical Center is $359. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $348. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.01x the Medicare baseline. Located in 11 Upper Riverdale Road, Sw, Riverdale, GA.
Cash / Self-Pay
$348

Average discount available for prompt cash payment at this facility.

Insurance Median
$359

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: $348 (98%)
Insurance Median: $359 (101%)
Cash: $348 (98% of Medicare)
Ins. Median: $359 (101% 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
Humana $331 - $611 93%
Aetna $348 - $3,493 98%
Americas Choice Provider Network $348 98%
Blue Cross Blue Shield $348 - $402 98%
Cigna $348 - $726 98%
Clear Spring Health Plan $348 98%
Corvel $348 98%
Georgia Workers’ Compensation $348 98%
Medicare (plans) $348 98%
Multiplan $348 98%
Novanet $348 98%
Prime Health Services $348 98%
Provider Select $348 98%
Riverwood Behavioral Health $348 - $435 98%
Three Rivers $348 98%
Tricare $348 98%
UnitedHealthcare $348 98%
Caresource $359 - $609 101%
Devoted Health $359 101%
Peach State $359 - $418 101%
Sonder Health Plan $366 103%
Wellcare $366 103%
Oscar Health Plan $453 127%
Employer Direct Healthcare $487 137%
Centurion $522 146%
Naphcare $540 152%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11 Upper Riverdale Road, Sw, Riverdale, GA 30274
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals