CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Physicians Regional Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $327
  • Cash Discount Price: $2,089
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Physicians Regional Medical Center is $327. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,089. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.92x the Medicare baseline. Located in 7565 Dannaher Way Powell, Powell, TN.
Cash / Self-Pay
$2,089

Average discount available for prompt cash payment at this facility.

Insurance Median
$327

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: $2,089 (586%)
Insurance Median: $327 (92%)
Cash: $2,089 (586% of Medicare)
Ins. Median: $327 (92% 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
Medicaid / KanCare $99 28%
UnitedHealthcare $99 - $9,408 28%
Amerigroup $184 - $327 52%
Amerigroup Community Care $184 52%
Blue Cross Blue Shield $252 - $1,825 71%
Tricare $301 84%
Humana $311 87%
Medicare (plans) $311 87%
Node Bluecare Plus Tn Mcr Adv $311 - $317 87%
Department Of Veterans Affairs $317 89%
Node Hospice Non Par Agree $317 89%
Node Va $317 89%
Node Devoted Health Mcr Adv $318 89%
Node Farm Bureau Mcr Adv $318 89%
Veterans Eval Services $320 90%
Aetna $321 - $1,033 90%
Node Healthspring Mcr Adv $321 90%
Wellcare $329 92%
Node Nhc Mcr Adv $343 96%
Node Us Dept Of Labor $396 111%
Us Department Of Labor $396 111%
Novanet Work Comp Tn $530 149%
Occunet Work Comp Tn $536 150%
Tn Work Comp $536 150%
Ambetter / Centene $586 164%
Node Point Comfort Underwriters $586 164%
Cigna $730 - $750 205%
Self Pay $2,047 - $2,131 574%
Multiplan $5,080 - $6,680 1425%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7565 Dannaher Way Powell, Powell, TN 37849
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals