CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Memorial Mission Hospital and Asheville Surgery Ce

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $4,555
Cash Discount Price: $9,969
vs. Medicare Baseline: 12.78x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Memorial Mission Hospital and Asheville Surgery Ce is $4,555. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,969. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 12.78x the Medicare baseline. Located in 509 Biltmore Ave, Asheville, NC.

Cash / Self-Pay

$9,969

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,555

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: $9,969 (2797%)

Insurance Median: $4,555 (1278%)

Cash: $9,969 (2797% of Medicare)

Ins. Median: $4,555 (1278% 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 1278% of the Medicare baseline (a markup of 1178%). 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
United	$828 - $6,118	232%
Blue Cross Blue Shield	$1,761 - $1,902	494%
Wellcare	$1,814 - $1,959	509%
Amerihealth	$1,831 - $1,977	514%
Partners Health Management	$1,849 - $1,997	519%
Vaya Health	$1,849 - $1,997	519%
Apex Health	$1,917 - $2,071	538%
Cigna	$3,556 - $5,156	998%
Caresource	$4,218 - $4,555	1183%
Medcost	$5,400 - $8,800	1515%
Magellan	$5,751 - $6,212	1614%
Magellan Behavioral Health	$5,751 - $6,212	1614%
Aetna	$6,930 - $7,485	1944%
Multiplan	$7,669 - $8,282	2152%
Avalon Administrative Services	$8,148 - $8,800	2286%
Prime Health	$8,435 - $9,317	2367%

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 $9,969.
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 Memorial Mission Hospital and Asheville Surgery Ce 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.