CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Calais Community Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $3,633
Cash Discount Price: $3,432
vs. Medicare Baseline: 10.19x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Calais Community Hospital is $3,633. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,432. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 10.19x the Medicare baseline. Located in 24 Hospital Lane, Calais, ME.

Cash / Self-Pay

$3,432

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,633

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: $3,432 (963%)

Insurance Median: $3,633 (1019%)

Cash: $3,432 (963% of Medicare)

Ins. Median: $3,633 (1019% 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 1019% of the Medicare baseline (a markup of 919%). 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	$946 - $3,633	265%
UnitedHealthcare	$946 - $3,935	265%
Humana	$2,013	565%
Wellcare	$2,013	565%
Partners Direct Health	$2,654	745%
Cigna	$3,848	1080%
Aetna	$3,935	1104%
Martins Point	$4,118	1155%
Harvard Pilgrim	$4,187	1175%

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 $3,432.
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 Calais Community 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.