CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Trident Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $3,576
Cash Discount Price: $12,172
vs. Medicare Baseline: 14.67x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Trident Medical Center is $3,576. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,172. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 14.67x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.

Cash / Self-Pay

$12,172

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,576

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: $12,172 (4993%)

Insurance Median: $3,576 (1467%)

Cash: $12,172 (4993% of Medicare)

Ins. Median: $3,576 (1467% 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 1467% of the Medicare baseline (a markup of 1367%). 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
Select Health	$182	75%
Blue Choice	$367	151%
United	$367 - $5,477	151%
Absolute Total Care	$423 - $2,191	174%
Sc State Employees	$534	219%
Blue Choice Health Plan	$894	367%
Blue Cross Blue Shield	$894 - $11,563	367%
Aetna	$1,959 - $4,523	804%
Nhc Advantage	$2,313	949%
Pruitt Health	$2,313	949%
Medcost	$4,650 - $6,841	1908%
Employers Health Network	$5,477	2247%
Vocational Rehab	$6,573	2696%
Humana	$7,912 - $9,129	3246%
First Health	$8,886	3645%
Evernorth	$9,738	3995%
Multiplan	$10,346	4244%
Prime Health	$10,346	4244%
Novanet	$10,955	4494%

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 $12,172.
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 Trident Medical Center 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.