CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Memorial Hospital at Gulfport

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $696
Cash Discount Price: $7,123
vs. Medicare Baseline: 1.95x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Memorial Hospital at Gulfport is $696. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,123. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.95x the Medicare baseline. Located in 4500 13Th Street, Gulfport, MS.

Cash / Self-Pay

$7,123

Average discount available for prompt cash payment at this facility.

Insurance Median

$696

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: $7,123 (1998%)

Insurance Median: $696 (195%)

Cash: $7,123 (1998% of Medicare)

Ins. Median: $696 (195% 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
UnitedHealthcare	$285 - $4,620	80%
Magnolia Health	$291 - $492	82%
Molina	$293 - $525	82%
Blue Cross Blue Shield	$335 - $8,140	94%
Humana	$341 - $7,326	96%
Cigna	$403 - $6,105	113%
Aetna	$601	169%
Fox Everett	$640	180%
First Choice	$696 - $7,326	195%
Sas Non-Mhg	$696	195%
Mhg	$733	206%
Primewell	$788	221%
Sas Mhg	$1,526 - $6,207	428%
First Health	$7,326	2055%
Mpcn	$7,632	2141%

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 $7,123.
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 Memorial Hospital at Gulfport 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.