CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Metro Nashville General Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $76
Cash Discount Price: $2,086
vs. Medicare Baseline: 0.31x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Metro Nashville General Hospital is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,086. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.31x the Medicare baseline. Located in 1818 Albion Street, Nashville, TN.

Cash / Self-Pay

$2,086

Average discount available for prompt cash payment at this facility.

Insurance Median

$76

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: $2,086 (856%)

Insurance Median: $76 (31%)

Cash: $2,086 (856% of Medicare)

Ins. Median: $76 (31% 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
UnitedHealthcare	$42 - $76	17%
Corizon	$50	21%
Amerigroup	$67	27%
Amerivantage	$67	27%
Cigna	$68 - $76	28%
Aetna	$76 - $1,912	31%
Blue	$76	31%
Humana	$76	31%
Medicare (plans)	$76	31%
Upmc	$76	31%
Wellcare	$76	31%
Farm Bureau	$78	32%
Corecivic	$84	34%
Bluecare	$101	41%
Tenncare	$101	41%
Ambetter / Centene	$107	44%
Naphcare	$115	47%
Provider Network Of America	$130	53%
Blue Cross Blue Shield	$184 - $243	75%

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 $2,086.
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 Metro Nashville General 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.