CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Blount Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $835
  • Cash Discount Price: $1,597
  • vs. Medicare Baseline: 2.34x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Blount Memorial Hospital is $835. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,597. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.34x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.
Cash / Self-Pay
$1,597

Average discount available for prompt cash payment at this facility.

Insurance Median
$835

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: $1,597 (448%)
Insurance Median: $835 (234%)
Cash: $1,597 (448% of Medicare)
Ins. Median: $835 (234% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 234% of the Medicare baseline (a markup of 134%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
UnitedHealthcare $140 - $859 39%
Medicaid / KanCare $257 - $794 72%
Blue Cross Blue Shield $328 - $811 92%
Humana $328 92%
Medicare (plans) $328 - $341 92%
Tricare $333 93%
Cigna $341 - $800 96%
Mvp Health Care [3037] $499 140%
Ambetter / Centene $513 144%
Consociate Health Contracted [4835] $729 205%
Fairos/Occunet Contracted [4837] $762 214%
Golden Rule Insurance Company [2991] $859 241%
Oxford Health Plans [2992] $859 241%
Prisma Health Seniorcare Pace - Midlands [5400] $1,196 336%
Prisma Health Seniorcare Pace-Upstate [5200] $1,196 336%
Promise Health Plan Contracted [2401] $1,804 - $1,875 506%
Bob Jones Univ-Pai [821] $1,840 516%
Orangeburg Senior Helping Center Pace [5401] $2,061 578%
Preferred Administrators Contracted [2839] $3,607 1012%
Medcost [2940] $3,813 - $4,277 1070%
Atlantic Packaging Contracted [4833] $3,865 1084%
Aps Healthcare System [2981] $4,122 1156%
Multiplan/Phcs Contracted [2950] $4,586 1287%
Aetna $4,638 1301%
Meritain Health Contracted [2200] $4,638 1301%
Nippon [2300] $4,638 1301%
Vsp Vision Care [2986] $4,638 1301%
First Health Contracted [2952] $4,792 1344%
Furman Int/Allen University Student [2951] $4,792 1344%
Quiktrip-First Health [3067] $4,792 1344%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 907 E Lamar Alexander Parkway, Maryville, TN 37804
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals