CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: University Health System, Inc

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,942
  • Cash Discount Price: $1,214
  • vs. Medicare Baseline: 5.45x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at University Health System, Inc is $1,942. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,214. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.45x the Medicare baseline. Located in 1924 Alcoa Highway, Knoxville, TN.
Cash / Self-Pay
$1,214

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,942

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: $1,214 (341%)
Insurance Median: $1,942 (545%)
Cash: $1,214 (341% of Medicare)
Ins. Median: $1,942 (545% 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 545% of the Medicare baseline (a markup of 445%). 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 $105 - $3,398 29%
Wellpoint $218 - $355 61%
Blue Cross Blue Shield $249 - $3,107 70%
Cigna $326 - $3,685 91%
Humana $326 91%
Aetna $339 - $3,398 95%
Devoted Health $339 95%
Wellcare-Windsor Medadv $342 96%
American Health $346 97%
Medicare (plans) $346 - $349 97%
Nhc $346 97%
Fentress County Sheriffs Dept $1,942 545%
Multiplan $2,913 817%
Nx Health $2,913 817%
Phcs $2,913 817%
Naphcare $3,156 885%
Coventry $3,398 953%
Beechstreet $3,641 1022%
Prime Health $3,641 - $4,855 1022%
Seven Corners $3,641 1022%
Usa $3,884 1090%
Evolutions $4,370 1226%
Galaxy $4,370 1226%
Healthsmart $4,370 1226%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1924 Alcoa Highway, Knoxville, TN 37920
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals