CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: T J Samson Community Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $344
  • Cash Discount Price: $1,350
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at T J Samson Community Hospital is $344. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,350. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.97x the Medicare baseline. Located in 1301 North Race Street, Glasgow, KY.
Cash / Self-Pay
$1,350

Average discount available for prompt cash payment at this facility.

Insurance Median
$344

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: $1,350 (379%)
Insurance Median: $344 (97%)
Cash: $1,350 (379% of Medicare)
Ins. Median: $344 (97% 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.

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 $81 - $3,346 23%
Center Care Select - All Plans $81 - $3,346 23%
Signature Health - All Plans $81 - $358 23%
Wellcare Mcr Adv - All Other Plans $81 - $355 23%
Molina Mcr Adv $83 - $362 23%
Devoted Mcr Adv - All Plans $85 - $372 24%
Humana $85 - $355 24%
Caresource - All Plans $106 - $532 30%
Molina Marketplace - All Other Plans $106 - $532 30%
Aetna $216 - $297 61%
Wellcare Mcaid $216 - $348 61%
Molina Mcaid $222 - $306 62%
UnitedHealthcare $3,059 858%
Phcs/Multiplan - All Plans $3,701 1038%
First Health - All Plans $3,740 1049%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1301 North Race Street, Glasgow, KY 42141
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals