CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Merit Health Wesley

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $318
  • Cash Discount Price: $3,683
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Merit Health Wesley is $318. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,683. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.30x the Medicare baseline. Located in 5001 W Hardy St, Hattiesburg, MS.
Cash / Self-Pay
$3,683

Average discount available for prompt cash payment at this facility.

Insurance Median
$318

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: $3,683 (1511%)
Insurance Median: $318 (130%)
Cash: $3,683 (1511% of Medicare)
Ins. Median: $318 (130% 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.

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
Medicaid / KanCare $127 - $2,203 52%
Magnolia $184 - $209 75%
UnitedHealthcare $184 - $1,618 75%
Magnolia Mcd Ms Chip $186 76%
Caresource Truecare $188 77%
Molina Chip $199 82%
Ms Work Comp $202 83%
Tricare $205 84%
Veterans Eval Services $206 85%
First Choice $209 - $11,555 86%
Humana $209 86%
Medicare (plans) $209 86%
Node Vantage Mcr Adv $209 86%
Node Hospice Non Par Agree $212 87%
Node Va $212 87%
Molina $213 87%
Node Devoted Health Mcr Adv $213 87%
Node First Choice American Health Mcr Adv $213 87%
Aetna $215 - $6,023 88%
Node Champva $215 88%
Node First Choice Wellcare Mcr Adv $216 89%
Node Healthy Mississippi Mcr Adv $233 96%
Node Us Dept Of Labor $265 109%
Molina Exchange $357 146%
First Choice Molina $360 148%
Magnolia Exchange $371 152%
First Choice Lgp $462 190%
Vantage Health $477 196%
Advanced Health Systems $486 199%
Blue Cross Blue Shield $625 256%
Chs Group Health Plan $2,889 1185%
Self Pay $3,033 - $4,333 1244%
Cigna $3,118 1279%
Trimed Billing Solutions $4,333 1777%
Ms Dept Of Rehabilitation Services $8,796 3608%
Benefit Management Services $9,389 3852%
Coventry First Health $10,833 4444%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5001 W Hardy St, Hattiesburg, MS 39402
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals