CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Merit Health Madison

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$444

about 1.2× the $356 Medicare rate · typically $340–$632

modeled estimate · not a bill or quote

What this hospital charges insurers

$612

Above the fair price

about $168 over the fair price · 1.7× Medicare

Medicare pays $356 Fair price $444 This hospital $612 Cash price $773 Hospital's list price $1,932

How we calculate the fair BaseRate →

How this hospital compares to other MS hospitals

Highest price of the 9 MS hospitals we have prices for — worth calling around.

Cheapest $91 Priciest $612

Black dot = this hospital, among the 9 MS hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $444 (about 1.2× the $356 Medicare rate). Merit Health Madison charges insurers about $612, or about $773 in cash — above the fair price. Located in Canton, MS.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $444. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$764	214%
Blue Cross Blue Shieldmajor	$1,344	377%
Cignamajor	$761	214%
Humanamajor	$328	92%
Ambetter (Centene)	$815	229%
Devoted Health	$331	93%
Molina	$280 - $677	79%
WellCare	$324	91%
+ 6 smaller / regional plans	$283 - $917

Government programs also on file: Medicare.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 773), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74177.

Insurance Before you use insurance

Call your insurance company to confirm Merit Health Madison is in-network.
Ask your insurer whether prior approval is required for CPT code 74177.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Merit Health Madison

Compare: CT scan, abdomen and pelvis (with contrast) at other MS hospitals

Insurance negotiated median for the same procedure, sorted lowest first.