CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Merit Health Madison

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $612
Cash Discount Price: $773
vs. Medicare Baseline: 1.72x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Merit Health Madison is $612. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $773. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.72x the Medicare baseline. Located in 161 River Oaks Drive, Canton, MS.

Cash / Self-Pay

$773

Average discount available for prompt cash payment at this facility.

Insurance Median

$612

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: $773 (217%)

Insurance Median: $612 (172%)

Cash: $773 (217% of Medicare)

Ins. Median: $612 (172% 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
Ms-Can-Molina	$280	79%
Ms-Can-Magnolia	$283	79%
Ms-Can-Truecare	$286	80%
Medicare (plans)	$315	88%
Wellcare	$324	91%
Humana	$328	92%
Devoted_Health	$331	93%
Molina-Chip	$599	168%
Magnolia-Chip	$612	172%
Truecare-Chip	$612	172%
Mpcn	$615	173%
Firstchoice	$630	177%
Molina_Exchange	$677	190%
Cigna	$761	214%
United	$764	214%
United_Exchange	$764	214%
Ambetter / Centene	$815	229%
Advhealth	$917	257%
Blue Cross Blue Shield	$1,344	377%

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 $773.
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 Merit Health Madison 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.