CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Sycamore Shoals Hospital

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$268

about 1.1× the $244 Medicare rate · typically $227–$268

modeled estimate · not a bill or quote

What this hospital charges insurers

$227

Below the fair price — a good deal

about $41 under the fair price · 0.9× Medicare

Medicare pays $244 Fair price $268 This hospital $227 Cash price $532 Hospital's list price $3,545

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $76 Priciest $227

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $268 (about 1.1× the $244 Medicare rate). Sycamore Shoals Hospital charges insurers about $227, or about $532 in cash — below the fair price — a good deal. Located in Elizabethton, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$216 - $3,545	89%
Blue Cross Blue Shieldmajor	$117 - $700	48%
Aetnamajor	$216 - $2,262	89%
Cignamajor	$227 - $542	93%
Humanamajor	$216	89%
Ambetter (Centene)	$472	194%
Amerigroup	$215 - $216	88%
Devoted Health	$227	93%
Molina	$225 - $459	92%
Sentara	$216 - $986	89%
WellCare	$229 - $3,545	94%
+ 3 smaller / regional plans	$216 - $3,545

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 532), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74176.

Insurance Before you use insurance

Call your insurance company to confirm Sycamore Shoals Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 74176.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Sycamore Shoals Hospital

Compare: CT scan, abdomen and pelvis (no contrast) at other TN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.