CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Affiliate of Vitruvian Health

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$401

about 1.1× the $356 Medicare rate · typically $342–$401

modeled estimate · not a bill or quote

What this hospital charges insurers

$334

Below the fair price — a good deal

about $67 under the fair price · 0.9× Medicare

Medicare pays $356 Fair price $401 This hospital $334 Cash price $1,820 Hospital's list price $3,033

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $119 Priciest $334

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $401 (about 1.1× the $356 Medicare rate). Affiliate of Vitruvian Health charges insurers about $334, or about $1,820 in cash — below the fair price — a good deal. Located in Cleveland, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$335	94%
Blue Cross Blue Shieldmajor	$277 - $653	78%
Aetnamajor	$329	92%
Cignamajor	$546 - $589	153%
Ambetter (Centene)	$543	152%
WellCare	$332	93%

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,820), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74177.

Insurance Before you use insurance

Call your insurance company to confirm Affiliate of Vitruvian Health is in-network.
Ask your insurer whether prior approval is required for CPT code 74177.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Affiliate of Vitruvian Health

Compare: CT scan, abdomen and pelvis (with contrast) at other TN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.