CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Tallahatchie General Hospital-Cah

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $235
Cash Discount Price: $209
vs. Medicare Baseline: 0.66x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Tallahatchie General Hospital-Cah is $235. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $209. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.66x the Medicare baseline. Located in 141 Dr. T.T. Lewis Circle / Po Box 230, Charleston, MS.

Cash / Self-Pay

$209

Average discount available for prompt cash payment at this facility.

Insurance Median

$235

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: $209 (59%)

Insurance Median: $235 (66%)

Cash: $209 (59% of Medicare)

Ins. Median: $235 (66% 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
Medicaid / KanCare	$72 - $272	20%
Molina Healthcare Of Ms Mcd Rep	$72 - $272	20%
UnitedHealthcare	$72 - $272	20%
Medicare (plans)	$90 - $1,194	25%
Blue Cross Blue Shield	$191 - $1,354	54%
Magnolia Health Plan Mcd Rep	$239 - $272	67%

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 $209.
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 Tallahatchie General Hospital-Cah 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.