CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Tj Health Columbia

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $336
Cash Discount Price: $2,559
vs. Medicare Baseline: 1.38x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Tj Health Columbia is $336. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,559. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.38x the Medicare baseline. Located in 901 Westlake Drive, Columbia, KY.

Cash / Self-Pay

$2,559

Average discount available for prompt cash payment at this facility.

Insurance Median

$336

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: $2,559 (1050%)

Insurance Median: $336 (138%)

Cash: $2,559 (1050% of Medicare)

Ins. Median: $336 (138% 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.

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	$189	78%
Blue Cross Blue Shield	$189 - $3,937	78%
Humana	$189 - $224	78%
Molina Mcaid	$195	80%
Signature Advantage - All Plans	$226	93%
Molina Mcr Adv	$228	94%
Devoted Mcr Adv - All Plans	$235	96%
Caresource - All Plans	$336	138%
Molina Marketplace - All Other Plans	$336	138%
UnitedHealthcare	$1,575	646%
Center Care Select - All Plans	$2,165	888%
Phcs/Multiplan - All Plans	$3,701	1518%
First Health - All Plans	$3,740	1534%

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 $2,559.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Tj Health Columbia is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.