CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Johnson County Community Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$526

about 1.5× the $356 Medicare rate · typically $228–$995

modeled estimate · not a bill or quote

What this hospital charges insurers

$498

About the fair price

about $28 under the fair price · 1.4× Medicare

Medicare pays $356 Fair price $526 This hospital $498 Cash price $549 Hospital's list price $2,388

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 $498

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

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $526 (about 1.5× the $356 Medicare rate). Johnson County Community Hospital charges insurers about $498, or about $549 in cash — about the fair price. Located in Mountain City, TN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$455 - $2,388	128%
Blue Cross Blue Shieldmajor	$224 - $1,797	63%
Aetnamajor	$459 - $1,524	129%
Cignamajor	$427 - $727	120%
Humanamajor	$704	198%
Ambetter (Centene)	$764	214%
Amerigroup	$650 - $693	182%
Devoted Health	$727	204%
Molina	$459 - $720	129%
Sentara	$442 - $810	124%
WellCare	$693	194%
+ 3 smaller / regional plans	$693 - $2,388

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 549), 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 Johnson County Community Hospital 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 Johnson County Community Hospital

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

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