CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Atrium Health Lincoln

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $988
Cash Discount Price: $2,875
vs. Medicare Baseline: 4.05x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Atrium Health Lincoln is $988. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,875. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.05x the Medicare baseline. Located in 433 McAlister Rd, Lincolnton, NC.

Cash / Self-Pay

$2,875

Average discount available for prompt cash payment at this facility.

Insurance Median

$988

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: $2,875 (1179%)

Insurance Median: $988 (405%)

Cash: $2,875 (1179% of Medicare)

Ins. Median: $988 (405% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 405% of the Medicare baseline (a markup of 305%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Trillium	$69 - $680	28%
Alliance	$70 - $674	29%
Amerihealth Caritas	$70 - $649	29%
Carolina Complete Health	$70 - $661	29%
Healthy Blue	$70 - $661	29%
Partners	$70 - $667	29%
UnitedHealthcare	$70 - $3,277	29%
Vaya	$70 - $667	29%
Wellcare	$70 - $661	29%
Cigna	$77 - $3,881	32%
Humana	$78 - $231	32%
Aetna	$80 - $4,887	33%
Orthocarolina	$96 - $283	39%
Blue Cross Blue Shield	$1,648 - $2,925	676%
Ambetter / Centene	$1,881 - $2,139	772%
Employers Health Network	$2,541	1042%
Medcost	$2,708 - $3,760	1111%
Physician Reach Out	$2,875	1179%
Gmmi	$3,737	1533%
Quik Trip	$3,737	1533%
Choicecare	$4,715	1934%
First Health	$4,887	2005%
Beechstreet	$5,175	2123%
Private Health Care Systems	$5,175	2123%
Multiplan	$5,462	2241%

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 $2,875.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Atrium Health Lincoln is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.