CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Atrium Health Navicent Peach

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $464
Cash Discount Price: $1,274
vs. Medicare Baseline: 1.90x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Atrium Health Navicent Peach is $464. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,274. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.90x the Medicare baseline. Located in 1960 Highway 247 Connector, Byron, GA.

Cash / Self-Pay

$1,274

Average discount available for prompt cash payment at this facility.

Insurance Median

$464

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: $1,274 (523%)

Insurance Median: $464 (190%)

Cash: $1,274 (523% of Medicare)

Ins. Median: $464 (190% 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.

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	$89 - $1,503	37%
Blue Cross Blue Shield	$89 - $535	37%
Georgia Health Advantage	$89 - $535	37%
Humana	$89 - $2,166	37%
UnitedHealthcare	$89 - $1,605	37%
Care Source	$91 - $546	37%
Clover	$91 - $546	37%
Eon Health	$91 - $546	37%
Alliant	$93 - $1,249	38%
Pruitt Health	$93 - $535	38%
Ambetter / Centene	$100 - $1,299	41%
Cigna	$197 - $1,855	81%
Securehealth	$670 - $1,656	275%
Multiplan	$1,656 - $2,038	679%
Novanet	$2,038	836%
Three Rivers Provider Network	$2,166	889%
Beechstreet	$2,370	972%

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 $1,274.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Atrium Health Navicent Peach is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.