CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Tristar Centennial Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $2,715
Cash Discount Price: $14,292
vs. Medicare Baseline: 11.14x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Tristar Centennial Medical Center is $2,715. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,292. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 11.14x the Medicare baseline. Located in 2300 Patterson Street, Nashville, TN.

Cash / Self-Pay

$14,292

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,715

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: $14,292 (5863%)

Insurance Median: $2,715 (1114%)

Cash: $14,292 (5863% of Medicare)

Ins. Median: $2,715 (1114% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1114% of the Medicare baseline (a markup of 1014%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$140 - $269	57%
United	$314 - $6,431	129%
Humana	$324 - $9,290	133%
Aetna	$459 - $7,146	188%
Kentucky Labor Cabinet	$2,631	1079%
Apex Health	$2,715	1114%
Nhc Advantage, Inc.	$2,715	1114%
Pruitt Health (Allyalign)	$2,715	1114%
Tennessee Donor Services	$3,873	1589%
Cigna	$4,459 - $11,433	1829%
Emerging Therapy Solutions	$7,003 - $9,575	2873%
Bgfh Singlesource	$7,146 - $12,148	2931%
Value Option	$7,146	2931%
Multiplan	$7,860	3224%
Southern Health Partners	$8,575	3518%
Employers Health Network	$10,004	4104%
Compsych	$11,433	4690%
Beech Street	$12,577	5159%
Prime Health	$12,577	5159%
UnitedHealthcare	$12,720 - $14,292	5218%

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 $14,292.
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 Tristar Centennial Medical Center 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.