CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: St Marys Good Samaritan Hospital
Billing Code: 74177 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$708
about 2.0× the $356 Medicare rate · typically $283–$1,482
modeled estimate · not a bill or quote
Medicare pays $356 Fair price $708 Cash price $1,199 Hospital's list price $1,844
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $498 - $2,632 | 140% |
| Blue Cross Blue Shieldmajor | $356 - $1,332 | 100% |
| Aetnamajor | $498 - $1,475 | 140% |
| Cignamajor | $498 - $1,512 | 140% |
| Humanamajor | $498 - $1,383 | 140% |
| Kaiser Permanentemajor | $498 | 140% |
| Ambetter (Centene) | $498 | 140% |
| Amerigroup | $1,844 | 517% |
| CareSource | $498 | 140% |
| Molina | $498 | 140% |
| WellCare | $298 - $498 | 84% |
| + 5 smaller / regional plans | $498 - $1,660 |
Government programs also on file: Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at St Marys Good Samaritan Hospital
Compare: CT scan, abdomen and pelvis (with contrast) at other GA hospitals
- Grady Memorial Hospital · Atlanta $224
- Atrium Health Navicent Peach · Byron $224
- Savannah Health Services LLC DBA Memorial Health University Medical Center · Savannah $241
- Shepherd Center, Inc. · Atlanta $248
- Atrium Health Navicent the Medical Center · Macon $270
- Navicent Health Baldwin · Milledgeville $270
- Atrium Health Navicent Rehabilitation Hopsital · Macon $270
- Southeast Georgia Health System -- Camden Campus · Saint Marys $282
Insurance negotiated median for the same procedure, sorted lowest first.