CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Doctors Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $367
  • Cash Discount Price: $13,823
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Doctors Hospital is $367. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,823. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.51x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.
Cash / Self-Pay
$13,823

Average discount available for prompt cash payment at this facility.

Insurance Median
$367

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: $13,823 (5671%)
Insurance Median: $367 (151%)
Cash: $13,823 (5671% of Medicare)
Ins. Median: $367 (151% 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
Blue Cross Blue Shield $116 - $363 48%
Health One Alliance $213 87%
Aetna $252 - $7,621 103%
Ambetter / Centene $324 133%
Blue Choice $367 151%
United $518 - $6,220 212%
Prime Health $608 249%
Rockport United Network $621 255%
Identity Mco $633 260%
Amerigroup $1,963 805%
Absolute Total Care $2,488 1021%
Nhc Advantage $2,626 1077%
Pruitt Health $2,626 1077%
Peach State $2,765 1134%
Wellcare $2,765 1134%
Americas 1St Choice $3,870 1588%
Medcost $6,925 - $8,833 2841%
Multiplan $8,294 - $12,441 3402%
Performax $9,400 3856%
First Health $10,367 4253%
Employer'S Health Network $11,059 4537%
Novanet $12,441 5104%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3651 Wheeler Road, Augusta, GA 30909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals