CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Tristar Hendersonville Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $719
Cash Discount Price: $17,638
vs. Medicare Baseline: 2.95x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Tristar Hendersonville Medical Center is $719. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,638. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.95x the Medicare baseline. Located in 355 New Shackle Island Rd, Hendersonville, TN.

Cash / Self-Pay

$17,638

Average discount available for prompt cash payment at this facility.

Insurance Median

$719

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: $17,638 (7236%)

Insurance Median: $719 (295%)

Cash: $17,638 (7236% of Medicare)

Ins. Median: $719 (295% 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 295% of the Medicare baseline (a markup of 195%). 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	$159 - $269	65%
United	$314 - $7,937	129%
Humana	$324 - $4,410	133%
Aetna	$459 - $8,819	188%
Kentucky Labor Cabinet	$3,247	1332%
Apex Health	$3,351	1375%
Nhc Advantage, Inc.	$3,351	1375%
Pruitt Health (Allyalign)	$3,351	1375%
Cigna	$5,926	2431%
Bgfh Singlesource	$8,819 - $14,993	3618%
Employers Health Network	$12,347	5065%
Multiplan	$14,463	5933%
Beech Street	$16,227	6657%

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 $17,638.
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 Hendersonville 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.