CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: St Jude Childrens Research Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $550
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.26x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at St Jude Childrens Research Hospital is $550. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.26x the Medicare baseline. Located in 262 Danny Thomas Place, Memphis, TN.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$550

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%)

Insurance Median: $550 (226%)

Ins. Median: $550 (226% 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 226% of the Medicare baseline (a markup of 126%). 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
UnitedHealthcare	$98 - $2,626	40%
Empower	$108	44%
Blue Cross Blue Shield	$109 - $303	45%
Tenncare Select Hmo	$119	49%
Home State Health	$199	82%
Medicaid / KanCare	$204	84%
Molina Marketplace Of Ms	$296	121%
Health Choice - Ok	$483	198%
Cigna	$550	226%
Healthcare Connections La	$556	228%
Humana	$680	279%
Healthy Blue	$912	374%
Vantage	$2,188 - $2,443	898%
Aetna	$2,735	1122%
Private Health Care Systems	$2,918	1197%
Ms Physicians Care Network	$3,100	1272%
Baptist Health	$3,282	1346%
First Health Ccn	$3,282	1346%
Health Choice	$3,282	1346%
Health Link Mississippi	$3,282	1346%
Healthscope Benefits Inc	$3,282	1346%
Tricare	$3,647	1496%

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 $X.
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 St Jude Childrens Research 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.