CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Dekalb Community Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $228
Cash Discount Price: $1,722
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Dekalb Community Hospital is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,722. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.94x the Medicare baseline. Located in 520 W Main St, Smithville, TN.

Cash / Self-Pay

$1,722

Average discount available for prompt cash payment at this facility.

Insurance Median

$228

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: $1,722 (706%)

Insurance Median: $228 (94%)

Cash: $1,722 (706% of Medicare)

Ins. Median: $228 (94% 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%
Community Plan	$201	82%
Point Comfort Underwriters	$205	84%
Amerigroup Mcr Replacement	$228	94%
Ascension Complete	$228	94%
Centurion Of Tn	$228	94%
Covid Uninsured Test Fund	$228	94%
Healthspring Mcr Replacement	$228	94%
Humana	$228	94%
Medicare (plans)	$228	94%
Nhc Advantage	$228	94%
UnitedHealthcare	$228 - $373	94%
Aetna	$233 - $2,984	96%
Cigna	$284 - $421	117%
Ambetter / Centene	$297	122%
Oscar Health	$319	131%
Smart Health	$319	131%

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 $1,722.
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 Dekalb Community 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.