CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Erlanger Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $326
Cash Discount Price: $341
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Erlanger Medical Center is $326. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $341. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.91x the Medicare baseline. Located in 975 E 3Rd St, Chattanooga, TN.

Cash / Self-Pay

$341

Average discount available for prompt cash payment at this facility.

Insurance Median

$326

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: $341 (96%)

Insurance Median: $326 (91%)

Cash: $341 (96% of Medicare)

Ins. Median: $326 (91% 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.

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
UnitedHealthcare	$70 - $859	20%
Aetna	$72 - $2,243	20%
Amerigroup	$75 - $957	21%
Caresource	$75 - $957	21%
Peach State Hlth Plan	$75 - $289	21%
Cigna	$90 - $2,060	25%
Bluecare	$92 - $935	26%
Devoted Health	$100 - $449	28%
Humana	$111 - $500	31%
Atrio Health	$121 - $475	34%
Point Comfort Underwriters	$121 - $778	34%
Alexian	$131 - $432	37%
Pruitthealth Premier	$141 - $443	40%
Blue Cross Blue Shield	$286 - $3,662	80%
Occunet	$311 - $756	87%
Clover	$328 - $432	92%
Upmc	$328 - $432	92%
American Health	$337 - $445	95%
Nhc	$344 - $454	97%
Wellpoint	$346	97%
Ambetter / Centene	$410 - $540	115%
Medicare (plans)	$432	121%
Simpra Advantage	$475	133%
Caresource Ga	$603 - $1,081	169%
Caresource Tn	$603 - $1,081	169%
Pnoa	$645 - $819	181%
Olympus	$648 - $3,433	182%
Alliant	$691 - $3,433	194%
Caresource Nc	$728 - $1,081	204%
First Health	$3,662 - $3,890	1027%

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 $341.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Erlanger Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.