CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Athur M Blank Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $5,782
Cash Discount Price: $8,435
vs. Medicare Baseline: 16.22x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Athur M Blank Hospital is $5,782. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,435. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 16.22x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$8,435

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,782

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: $8,435 (2367%)

Insurance Median: $5,782 (1622%)

Cash: $8,435 (2367% of Medicare)

Ins. Median: $5,782 (1622% 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 1622% of the Medicare baseline (a markup of 1522%). 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
Peachstate [43]	$3,605	1011%
Caresource [61]	$3,706	1040%
Amerigroup [102]	$3,882	1089%
Cigna	$5,576	1564%
Blue Cross Blue Shield	$5,597 - $8,234	1570%
United [5]	$5,597	1570%
Ambetter / Centene	$5,647	1584%
Oscar [228]	$5,651	1585%
Aetna	$5,677	1593%
Caresource Marketplace Bronze/Silver/Gold [60]	$5,732	1608%
Kaiser [6]	$5,743	1611%
Sidecar Health [236]	$5,820	1633%
Direct Employer Agreements [72]	$5,904 - $7,170	1656%
Coventry [9]	$5,920	1661%
Northeast Georgia Heatlh System [808]	$6,326	1775%
Veracity Benefits [809]	$6,326	1775%
First Health [74]	$6,331	1776%
Phcs [93]	$7,170	2012%
Secure Health [340]	$7,170	2012%
Beech Street [71]	$7,592	2130%
Multiplan [92]	$8,266	2319%
Novanet [41]	$8,435	2367%

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 $8,435.
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 Athur M Blank 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.