CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Atrium Health Navicent Peach

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $688
Cash Discount Price: $1,781
vs. Medicare Baseline: 1.93x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Atrium Health Navicent Peach is $688. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,781. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.93x the Medicare baseline. Located in 1960 Highway 247 Connector, Byron, GA.

Cash / Self-Pay

$1,781

Average discount available for prompt cash payment at this facility.

Insurance Median

$688

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: $1,781 (500%)

Insurance Median: $688 (193%)

Cash: $1,781 (500% of Medicare)

Ins. Median: $688 (193% 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	$94 - $2,101	26%
Blue Cross Blue Shield	$94 - $748	26%
Georgia Health Advantage	$94 - $748	26%
Humana	$94 - $3,027	26%
UnitedHealthcare	$94 - $2,243	26%
Care Source	$95 - $763	27%
Clover	$95 - $763	27%
Eon Health	$95 - $763	27%
Alliant	$98 - $1,745	27%
Pruitt Health	$98 - $748	27%
Ambetter / Centene	$106 - $1,816	30%
Cigna	$206 - $2,592	58%
Securehealth	$1,026 - $2,315	288%
Multiplan	$2,315 - $2,849	649%
Novanet	$2,849	799%
Three Rivers Provider Network	$3,027	849%
Beechstreet	$3,312	929%

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 $1,781.
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 Atrium Health Navicent Peach 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.