CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Artesia General Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $3,316
Cash Discount Price: $2,801
vs. Medicare Baseline: 13.60x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Artesia General Hospital is $3,316. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,801. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 13.60x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$2,801

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,316

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: $2,801 (1149%)

Insurance Median: $3,316 (1360%)

Cash: $2,801 (1149% of Medicare)

Ins. Median: $3,316 (1360% 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 1360% of the Medicare baseline (a markup of 1260%). 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
Zelis	$178 - $2,174	73%
Blue Cross Blue Shield	$225 - $3,261	92%
Molina Healthcare Of New Mexico	$230 - $393	94%
Presbyterian Health Plan	$230 - $266	94%
Triwest	$230	94%
UnitedHealthcare	$230 - $4,620	94%
Geha	$234 - $4,348	96%
Humana	$234 - $258	96%
Vistacare Hospice	$234	96%
First Health	$252 - $4,892	103%
New Mexico Health Connections	$398	163%
Providence Risk & Insurance Services	$468 - $5,163	192%
Omni Networks	$2,731 - $3,804	1120%
Three Rivers Provider Network	$2,926 - $4,076	1200%
Cigna	$3,316 - $4,892	1360%
Galaxy Health	$3,511 - $4,892	1440%
One Health Plan	$3,511 - $4,892	1440%
Multiplan	$3,550 - $4,946	1456%
United Payors & United Providers	$3,628 - $5,055	1488%

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 $2,801.
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 Artesia General Hospital 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.