CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Shepherd Center, Inc.

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $232
  • Cash Discount Price: $3,361
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Shepherd Center, Inc. is $232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,361. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.95x the Medicare baseline. Located in 2020 Peachtree Rd Nw, Atlanta, GA.
Cash / Self-Pay
$3,361

Average discount available for prompt cash payment at this facility.

Insurance Median
$232

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: $3,361 (1379%)
Insurance Median: $232 (95%)
Cash: $3,361 (1379% of Medicare)
Ins. Median: $232 (95% 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 $64 - $265 26%
Medicare (plans) $84 - $231 34%
Humana $89 - $216 37%
Kaiser $96 - $125 39%
Aetna $125 - $5,713 51%
Coventry $126 - $4,369 52%
Cigna $230 94%
UnitedHealthcare $233 - $297 96%
Paradigm Wc $3,293 1351%
Secure Health $4,033 1654%
Coventry Wc $4,369 1792%
Alamed Wc $4,705 1930%
Fcci Wc $4,705 1930%
Multiplan $5,041 2068%
Evolution Wc $5,377 2206%
Prime Health Wc $5,377 - $6,049 2206%
Corvel Wc $5,713 2344%
Novanet Wc $5,713 2344%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2020 Peachtree Rd Nw, Atlanta, GA 30309
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL