CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: Cannon Memorial Hospital
Billing Code: 74177 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74177
- Insurance Median: $275
- Cash Discount Price: $322
- vs. Medicare Baseline: 0.77x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Cannon Memorial Hospital is $275. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $322. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.77x the Medicare baseline. Located in 123 W G Acker Drive, Pickens, SC.
Cash / Self-Pay
$322
Average discount available for prompt cash payment at this facility.
Insurance Median
$275
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: $322 (90%)
Insurance Median: $275 (77%)
Cash: $322 (90% of Medicare)
Ins. Median: $275 (77% 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
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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 |
|---|---|---|
| Medicaid / KanCare | $63 - $5,700 | 18% |
| Humana | $66 - $4,104 | 19% |
| Select Health Of Sc [637] | $73 - $1,202 | 20% |
| Aetna | $79 - $3,238 | 22% |
| Blue Choice Health Plan [922] | $79 - $3,272 | 22% |
| Blue Cross Blue Shield | $79 - $5,415 | 22% |
| Medicare (plans) | $79 - $5,700 | 22% |
| UnitedHealthcare | $79 - $5,700 | 22% |
| Vaccn - Va Community Care Network [16] | $79 - $274 | 22% |
| Veterans Administration [633] | $79 - $274 | 22% |
| Devoted Health Alt Payer [9401] | $81 - $280 | 23% |
| Devoted Health [94] | $81 - $280 | 23% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $82 - $284 | 23% |
| Absolute Total Care Mcr Plans [41] | $82 - $284 | 23% |
| Champva [604] | $82 - $289 | 23% |
| Cigna | $82 - $5,700 | 23% |
| Molina Dual Options Alt Payer [1501] | $82 - $283 | 23% |
| Molina Dual Options [15] | $82 - $283 | 23% |
| Tricare | $82 - $289 | 23% |
| Absolute Total Care [58] | $83 - $1,262 | 23% |
| First Choice Vip Careplus Alt Payer [3301] | $83 - $288 | 23% |
| First Choice Vip [33] | $83 - $288 | 23% |
| Nhc Advantage Alt Payer [6101] | $83 - $288 | 23% |
| Nhc Advantage [61] | $83 - $288 | 23% |
| Bright Health Alt Payer [1001] | $93 - $335 | 26% |
| Geha [302] | $108 - $3,038 | 30% |
| Golden Rule Ins Co [584] | $108 - $3,038 | 30% |
| Employee Benefit Management Services [869] | $112 - $1,596 | 31% |
| Ambetter / Centene | $113 - $393 | 32% |
| First Choice Next [96] | $115 - $398 | 32% |
| Molina Marketplace [97] | $115 - $398 | 32% |
| Bright Health [11] | $117 - $390 | 33% |
| Mail Handlers Benefit Plan [327] | $127 - $3,238 | 36% |
| Rural Carrier Benefit Plan [406] | $127 - $3,238 | 36% |
| Workers Compensation [622] | $128 - $447 | 36% |
| Edison Health Solutions [95] | $139 - $480 | 39% |
| Healthscope [98] | $139 - $480 | 39% |
| Preferred Administrators [19] | $140 - $3,420 | 39% |
| Nalc Health Benefit Plan [291] | $144 - $3,392 | 40% |
| Planned Administrators [886] | $201 - $2,913 | 56% |
| Phcs [940] | $206 - $3,762 | 58% |
| Medcost [206] | $213 - $5,130 | 60% |
| Thomas Cooper & Company [315] | $227 - $2,913 | 64% |
| Other Hospital Payers [1991] | $411 - $5,700 | 115% |
| Coventry Health [245] | $3,562 - $4,104 | 999% |
| American Continental Ins [778] | $5,700 | 1599% |
| American Republic Life Ins [722] | $5,700 | 1599% |
| Business Office [6000] | $5,700 | 1599% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $5,700 | 1599% |
| First Health [946] | $5,700 | 1599% |
| Guarantee Trust Life Insurance [236] | $5,700 | 1599% |
| Home Health Infusion Payer [6001] | $5,700 | 1599% |
| Manhattan Life Ins Co [932] | $5,700 | 1599% |
| Miscellaneous Commercial [1] | $5,700 | 1599% |
| New Era Life Ins Co [437] | $5,700 | 1599% |
| Non-Contracted [22] | $5,700 | 1599% |
| Physicians Mutual [773] | $5,700 | 1599% |
| Reference Based Pricing/Limited Plan [21] | $5,700 | 1599% |
| State Farm Ins Co [373] | $5,700 | 1599% |
| Sterling Investors Life [244] | $5,700 | 1599% |
| Supermed/Med Mutual Of Ohio [539] | $5,700 | 1599% |
| United American Ins Co [277] | $5,700 | 1599% |