CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Surgical Specialty Center of Baton Rouge

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $376
Cash Discount Price: $1,283
vs. Medicare Baseline: 1.54x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Surgical Specialty Center of Baton Rouge is $376. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,283. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.54x the Medicare baseline. Located in 8080 Bluebonnet Blvd, Baton Rouge, LA.

Cash / Self-Pay

$1,283

Average discount available for prompt cash payment at this facility.

Insurance Median

$376

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: $1,283 (526%)

Insurance Median: $376 (154%)

Cash: $1,283 (526% of Medicare)

Ins. Median: $376 (154% 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	$147 - $223	60%
Amerihealth	$147	60%
Healthy_Blue	$147	60%
Humana	$147 - $326	60%
Lhc	$147	60%
Medicaid / KanCare	$147	60%
United_Caid	$147	60%
Verity	$199	82%
Cigna	$209	86%
Blue Cross Blue Shield	$216 - $289	89%
Medadv-Peoples	$216	89%
Medicare (plans)	$216	89%
Tricare	$216	89%
UnitedHealthcare	$216	89%
Va	$218	89%
Wellcare	$227	93%
Southern-Univ	$300	123%
Lucent	$302	124%
Coventry	$425	174%
Workcomp_Cov	$425	174%
Promise_Hosp	$450	185%
Ambetter / Centene	$451	185%
Workcomp_Saints	$497	204%
Lsu	$500	205%
Uhc_Commcoffee	$504	207%
United	$518	212%
Gilsbar	$838	344%
Lsufirst	$1,027	421%
Multiplan-Pos	$1,027	421%
Multiplan-Ppo	$1,027	421%
Ppoplus	$1,044	428%
Stjude	$1,112	456%
Bayou-Med	$1,198	491%
Dma	$1,198	491%
Womans_Hosp	$1,198	491%
Reny	$1,283	526%
Ehn	$1,369	562%
Workcomp_3R	$1,386	569%
Three_Rivers	$1,454	596%
Workcomp_Strat	$1,454	596%
Geha	$1,506	618%
Workcomp_Fp	$1,540	632%
Usa_Mco	$1,608	660%

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 $1,283.
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 Surgical Specialty Center of Baton Rouge 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.