CMS Price Transparency Data
CT scan, abdomen and pelvis (no contrast)
Facility: Cannon Memorial Hospital
Billing Code: 74176 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74176
- Insurance Median: $168
- Cash Discount Price: $149
- vs. Medicare Baseline: 0.69x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Cannon Memorial Hospital is $168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $149. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.69x the Medicare baseline. Located in 123 W G Acker Drive, Pickens, SC.
Cash / Self-Pay
$149
Average discount available for prompt cash payment at this facility.
Insurance Median
$168
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: $149 (61%)
Insurance Median: $168 (69%)
Cash: $149 (61% of Medicare)
Ins. Median: $168 (69% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Phcs [940] | $21 - $3,234 | 9% |
| Medicaid / KanCare | $61 - $4,900 | 25% |
| Humana | $64 - $3,528 | 26% |
| Select Health Of Sc [637] | $70 - $994 | 29% |
| Aetna | $75 - $2,783 | 31% |
| Blue Choice Health Plan [922] | $75 - $2,813 | 31% |
| Blue Cross Blue Shield | $75 - $4,655 | 31% |
| Medicare (plans) | $75 - $4,900 | 31% |
| UnitedHealthcare | $75 - $4,900 | 31% |
| Vaccn - Va Community Care Network [16] | $75 - $168 | 31% |
| Veterans Administration [633] | $75 - $168 | 31% |
| Devoted Health Alt Payer [9401] | $77 - $171 | 32% |
| Devoted Health [94] | $77 - $171 | 32% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $78 - $174 | 32% |
| Absolute Total Care Mcr Plans [41] | $78 - $174 | 32% |
| Cigna | $78 - $4,900 | 32% |
| Molina Dual Options Alt Payer [1501] | $78 - $173 | 32% |
| Molina Dual Options [15] | $78 - $173 | 32% |
| Champva [604] | $79 - $176 | 32% |
| First Choice Vip Careplus Alt Payer [3301] | $79 - $177 | 32% |
| First Choice Vip [33] | $79 - $177 | 32% |
| Nhc Advantage Alt Payer [6101] | $79 - $177 | 32% |
| Nhc Advantage [61] | $79 - $177 | 32% |
| Tricare | $79 - $176 | 32% |
| Absolute Total Care [58] | $80 - $1,044 | 33% |
| Bright Health Alt Payer [1001] | $89 - $200 | 37% |
| Geha [302] | $103 - $2,612 | 42% |
| Golden Rule Ins Co [584] | $103 - $2,612 | 42% |
| Planned Administrators [886] | $103 - $2,504 | 42% |
| Ambetter / Centene | $108 - $240 | 44% |
| Employee Benefit Management Services [869] | $108 - $1,372 | 44% |
| First Choice Next [96] | $109 - $244 | 45% |
| Molina Marketplace [97] | $109 - $244 | 45% |
| Bright Health [11] | $111 - $247 | 46% |
| Mail Handlers Benefit Plan [327] | $121 - $2,783 | 50% |
| Rural Carrier Benefit Plan [406] | $121 - $2,783 | 50% |
| Workers Compensation [622] | $122 - $272 | 50% |
| Edison Health Solutions [95] | $132 - $294 | 54% |
| Healthscope [98] | $132 - $294 | 54% |
| Preferred Administrators [19] | $134 - $2,940 | 55% |
| Nalc Health Benefit Plan [291] | $137 - $2,916 | 56% |
| Medcost [206] | $203 - $4,410 | 83% |
| Thomas Cooper & Company [315] | $261 - $2,504 | 107% |
| Other Hospital Payers [1991] | $278 - $4,900 | 114% |
| Coventry Health [245] | $3,062 - $3,528 | 1256% |
| American Continental Ins [778] | $4,900 | 2010% |
| American Republic Life Ins [722] | $4,900 | 2010% |
| Business Office [6000] | $4,900 | 2010% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $4,900 | 2010% |
| First Health [946] | $4,900 | 2010% |
| Guarantee Trust Life Insurance [236] | $4,900 | 2010% |
| Home Health Infusion Payer [6001] | $4,900 | 2010% |
| Manhattan Life Ins Co [932] | $4,900 | 2010% |
| Miscellaneous Commercial [1] | $4,900 | 2010% |
| New Era Life Ins Co [437] | $4,900 | 2010% |
| Non-Contracted [22] | $4,900 | 2010% |
| Physicians Mutual [773] | $4,900 | 2010% |
| Reference Based Pricing/Limited Plan [21] | $4,900 | 2010% |
| State Farm Ins Co [373] | $4,900 | 2010% |
| Sterling Investors Life [244] | $4,900 | 2010% |
| Supermed/Med Mutual Of Ohio [539] | $4,900 | 2010% |
| United American Ins Co [277] | $4,900 | 2010% |