CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Southcoast Hospitals Group

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $460
Cash Discount Price: $1,077
vs. Medicare Baseline: 1.29x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Southcoast Hospitals Group is $460. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,077. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.29x the Medicare baseline. Located in 363 Highland Avenue, Fall River, MA.

Cash / Self-Pay

$1,077

Average discount available for prompt cash payment at this facility.

Insurance Median

$460

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: $1,077 (302%)

Insurance Median: $460 (129%)

Cash: $1,077 (302% of Medicare)

Ins. Median: $460 (129% 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.

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
Wellsense Health Plan [1010202]	$204	57%
Tufts Health Public Plans [1010213]	$235 - $412	66%
Medicare (plans)	$257 - $509	72%
Blue Cross Blue Shield	$306 - $1,072	86%
Aetna	$424 - $1,638	119%
Evercare [1010304]	$424	119%
Tufts Senior Care Options [1010315]	$424	119%
UnitedHealthcare	$424 - $586	119%
Wellsense Health Plan Senior Care Options [1020208	$428	120%
Commonwealth Care Alliance [1080501]	$437 - $441	123%
Wellsense Health Plan Clarity Connectorcare & Meta	$460	129%
Eternal Health [1010322]	$466	131%
Cigna	$587	165%
Fallon [1000114]	$594	167%
Harvard Pilgrim [1010602]	$732	205%
Tufts [1010701]	$900	253%
Wellpoint [1000102]	$1,133	318%
Mass General Brigham Health Plan Commercial [10122	$1,213	340%
Mass General Brigham Health Plan Connectorcare [10	$1,213	340%
Group Insurance Service Center [1013001]	$1,292	362%
Innovative Health Plan [1025001]	$1,292	362%
Priority Health [1015001]	$1,292	362%
PHCS [1000125]	$1,399	393%
First Health [1000130]	$1,638	460%

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 $1,077.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

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 74177.
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.