CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Johnson City Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $419
  • Cash Discount Price: $560
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Johnson City Medical Center is $419. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $560. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.18x the Medicare baseline. Located in 400 N State of Franklin Rd, Johnson City, TN.
Cash / Self-Pay
$560

Average discount available for prompt cash payment at this facility.

Insurance Median
$419

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: $560 (157%)
Insurance Median: $419 (118%)
Cash: $560 (157% of Medicare)
Ins. Median: $419 (118% 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
Blue Cross Blue Shield $224 - $1,263 63%
Aetna $326 - $2,380 91%
Amerigroup $326 - $433 91%
Humana $326 91%
Managed Medicaire $326 91%
Medicare (plans) $326 91%
Mountain Empire Pace $326 91%
Sentara Health $326 - $1,302 91%
United Mine Workers Of America $326 91%
UnitedHealthcare $326 - $3,731 91%
Molina Healthcare $339 - $423 95%
Cigna $342 - $542 96%
Devoted Health Plan $342 96%
Nhc Advantage $342 96%
Wellcare $345 - $3,731 97%
Optima Health $407 114%
Ambetter / Centene $710 199%
Medcost $1,306 366%
First Health Coventry $2,798 785%
Seven Corners, Inc. $3,731 1047%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N State of Franklin Rd, Johnson City, TN 37604
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals