CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Medstar Georgetown University Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,108
Cash Discount Price: $5,171
vs. Medicare Baseline: 5.91x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Medstar Georgetown University Hospital is $2,108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,171. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.91x the Medicare baseline. Located in 3800 Reservoir Rd, Washington, DC.

Cash / Self-Pay

$5,171

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,108

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $5,171 (1451%)

Insurance Median: $2,108 (591%)

Cash: $5,171 (1451% of Medicare)

Ins. Median: $2,108 (591% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 591% of the Medicare baseline (a markup of 491%). 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
Carefirst Advantage Inc	$412	116%
Tricare	$412	116%
UnitedHealthcare	$412 - $2,784	116%
Aetna	$424 - $5,092	119%
Health Care Service Corporation	$433	121%
Humana	$433	121%
Blue Cross Blue Shield	$510	143%
Amerigroup	$693	194%
Amerihealth Caritas District Of Columbia	$693	194%
Hscsn	$693	194%
Medstar Family Choice Inc	$693 - $2,228	194%
Cigna	$2,108	591%
Carefirst Blue Choice Inc	$3,810	1069%
Pfc	$5,171	1451%
Private Healthcare Systems (Phcs)	$6,365	1786%
First Health	$6,762	1897%
Beech Street	$7,160	2009%

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 $5,171.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medstar Georgetown University Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.