CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Atrium Health Union

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $876
  • Cash Discount Price: $3,217
  • vs. Medicare Baseline: 2.46x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Atrium Health Union is $876. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,217. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.46x the Medicare baseline. Located in 600 Hospital Dr, Monroe, NC.
Cash / Self-Pay
$3,217

Average discount available for prompt cash payment at this facility.

Insurance Median
$876

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: $3,217 (903%)
Insurance Median: $876 (246%)
Cash: $3,217 (903% of Medicare)
Ins. Median: $876 (246% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 246% of the Medicare baseline (a markup of 146%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Trillium $72 - $885 20%
Amerihealth Caritas $73 - $843 20%
Carolina Complete Health $73 - $859 20%
Healthy Blue $73 - $859 20%
Partners $73 - $836 20%
UnitedHealthcare $73 - $3,050 20%
Vaya $73 - $867 20%
Wellcare $73 - $859 20%
Alliance $74 - $995 21%
Cigna $81 - $4,343 23%
Humana $82 - $346 23%
Aetna $84 - $3,925 24%
Ortho Carolina $101 - $425 28%
Blue Cross Blue Shield $359 - $1,439 101%
Ambetter / Centene $1,918 - $2,336 538%
Employers Health Network $2,844 798%
Medcost $3,475 - $4,182 975%
Magellan $3,861 1083%
Gmmi $4,182 1173%
Quik Trip $4,182 1173%
Healthgram $5,147 1444%
Choicecare $5,469 1534%
First Health $5,469 1534%
Beechstreet $5,791 1625%
Private Health Care Systems $5,791 1625%
Provider Select $5,791 1625%
Multiplan $6,113 1715%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Hospital Dr, Monroe, NC 28112
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals