CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Southcoast Hospitals Group

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $319
Cash Discount Price: $747
vs. Medicare Baseline: 1.31x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Southcoast Hospitals Group is $319. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $747. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.31x the Medicare baseline. Located in 363 Highland Avenue, Fall River, MA.

Cash / Self-Pay

$747

Average discount available for prompt cash payment at this facility.

Insurance Median

$319

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: $747 (306%)

Insurance Median: $319 (131%)

Cash: $747 (306% of Medicare)

Ins. Median: $319 (131% 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
Medicare (plans)	$142 - $344	58%
Blue Cross Blue Shield	$181 - $640	74%
Wellsense Health Plan [1010202]	$204	84%
Tufts Health Public Plans [1010213]	$235 - $412	96%
Aetna	$287 - $1,137	118%
Evercare [1010304]	$287	118%
Tufts Senior Care Options [1010315]	$287	118%
UnitedHealthcare	$287 - $374	118%
Wellsense Health Plan Senior Care Options [1020208	$290	119%
Commonwealth Care Alliance [1080501]	$296 - $299	121%
Eternal Health [1010322]	$316	130%
Wellsense Health Plan Clarity Connectorcare & Meta	$319	131%
Fallon [1000114]	$402	165%
Harvard Pilgrim [1010602]	$438	180%
Cigna	$587	241%
Tufts [1010701]	$624	256%
Wellpoint [1000102]	$702	288%
Mass General Brigham Health Plan Commercial [10122	$842	345%
Mass General Brigham Health Plan Connectorcare [10	$842	345%
Group Insurance Service Center [1013001]	$896	368%
Innovative Health Plan [1025001]	$896	368%
Priority Health [1015001]	$896	368%
PHCS [1000125]	$971	398%
First Health [1000130]	$1,137	466%

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 $747.
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 Southcoast Hospitals Group 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.