CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Saint Thomas Rutherford Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $232
Cash Discount Price: $1,410
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Saint Thomas Rutherford Hospital is $232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,410. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.95x the Medicare baseline. Located in 1700 Medical Center Parkway, Murfreesboro, TN.

Cash / Self-Pay

$1,410

Average discount available for prompt cash payment at this facility.

Insurance Median

$232

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: $1,410 (578%)

Insurance Median: $232 (95%)

Cash: $1,410 (578% of Medicare)

Ins. Median: $232 (95% 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.

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
Blue Cross Blue Shield	$101 - $246	41%
Humana	$190 - $232	78%
Point Comfort Underwriters	$208	85%
Medicare (plans)	$218 - $243	89%
Ascension Complete	$232	95%
Centurion Of Tn	$232	95%
Covid Uninsured Test Fund	$232	95%
Healthspring Mcr Replacement	$232	95%
Nhc Advantage	$232	95%
Triwest Va Pccc	$232	95%
UnitedHealthcare	$232 - $373	95%
Aetna	$236 - $2,444	97%
Amerigroup Mcr Replacement	$238	98%
Ambetter / Centene	$301	123%
Oscar Health	$324	133%
Smart Health	$324	133%
Cigna	$344 - $568	141%

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 $1,410.
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 Saint Thomas Rutherford Hospital 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.