CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Abbeville General Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $2,724
Cash Discount Price: $2,096
vs. Medicare Baseline: 11.17x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Abbeville General Hospital is $2,724. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,096. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.17x the Medicare baseline. Located in 118 N Hospital Dr, Abbeville, LA.

Cash / Self-Pay

$2,096

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,724

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: $2,096 (860%)

Insurance Median: $2,724 (1117%)

Cash: $2,096 (860% of Medicare)

Ins. Median: $2,724 (1117% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1117% of the Medicare baseline (a markup of 1017%). 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
Triwest Healthcare Alliance	$85	35%
Cigna	$132 - $2,079	54%
Blue Cross Blue Shield	$166 - $727	68%
Humana	$194 - $3,143	80%
Aetna	$213 - $2,934	87%
Healthy Blue	$213	87%
People'S Health	$213	87%
UnitedHealthcare	$213 - $3,353	87%
Medicare (plans)	$216	89%
Sierra Health And Life Insurance	$216	89%
Sterling Life Insurance Company	$216	89%
Office Of Group Benefits	$378	155%
Med-Comp Usa Inc	$442	181%
Vantage Health Plan	$457 - $7,544	187%
Magellan Behavioral Health	$1,305	535%
Self Pay	$2,096	860%
Gilsbar Ppo	$3,143 - $3,248	1289%
Ppo Plus	$3,143	1289%
United Behavioral Health Inc	$3,143	1289%
Verity Healthnet National	$3,143	1289%
American Lifecare (Phcs)	$3,248 - $3,353	1332%
Guardian Resources	$3,353	1375%
Coventry Company	$3,563	1462%
Galaxy Health Network	$3,563	1462%
Usa Managed Care	$3,563	1462%
Health Payors Organization	$3,772	1547%
Miscellaneous Insurance	$4,191	1719%
Wellcare Of Louisiana	$4,191	1719%

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 $2,096.
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 Abbeville General Hospital 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.