CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Roane Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $342
  • Cash Discount Price: $818
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Roane Medical Center is $342. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $818. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.96x the Medicare baseline. Located in 8045 Roane Medical Center Drive, Harriman, TN.
Cash / Self-Pay
$818

Average discount available for prompt cash payment at this facility.

Insurance Median
$342

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: $818 (229%)
Insurance Median: $342 (96%)
Cash: $818 (229% of Medicare)
Ins. Median: $342 (96% 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

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 $124 - $783 35%
Blue Cross Blue Shield $259 - $522 73%
Cigna $269 - $342 75%
Tricare $326 91%
Farm Bureau $335 94%
Humana $336 94%
Aetna $342 - $396 96%
Devoted Health $342 96%
Wellcare $342 96%
Wellpoint $342 - $348 96%
Ambetter / Centene $617 173%
Ehn $1,188 333%
Correctional Medical Services $1,584 444%
Community Services Network $1,716 481%
Usa Managed Care Organization $1,848 518%
Novanet $1,980 556%
Direct Care America $2,112 593%
Medsave Usa $2,112 593%
National Provider Network $2,112 593%
Beech Street $2,244 630%
Ccn Managed Care $2,244 630%
Initial Group $2,323 652%
Galaxy Health Network $2,376 667%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8045 Roane Medical Center Drive, Harriman, TN 37748
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals