CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Clinch Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $3,927
Cash Discount Price: $2,067
vs. Medicare Baseline: 11.02x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Clinch Memorial Hospital is $3,927. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,067. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 11.02x the Medicare baseline. Located in 1050 Valdosta Highway, Homerville, GA.

Cash / Self-Pay

$2,067

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,927

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: $2,067 (580%)

Insurance Median: $3,927 (1102%)

Cash: $2,067 (580% of Medicare)

Ins. Median: $3,927 (1102% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1102% of the Medicare baseline (a markup of 1002%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$3,307 - $4,134	928%
UnitedHealthcare	$3,431	963%
Peach State Health Plan	$3,494 - $4,134	980%
Cigna	$3,514	986%
Blue Cross Blue Shield	$3,555	997%
Novanet	$3,721	1044%
Alliant	$3,927 - $4,134	1102%
Caresource	$3,927 - $4,134	1102%
Devoted	$3,927 - $4,134	1102%
Eon Health	$3,927 - $4,134	1102%
Humana	$3,927 - $4,134	1102%
Wellcare	$3,927 - $4,134	1102%
Amerigroup	$4,134	1160%
Clover	$4,134	1160%

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 $2,067.
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 Clinch Memorial Hospital 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.