CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Novant Health Forsyth Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $2,095
Cash Discount Price: $2,008
vs. Medicare Baseline: 8.59x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Novant Health Forsyth Medical Center is $2,095. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,008. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.59x the Medicare baseline. Located in 3333 Silas Creek Parkway, Winston-Salem, NC.

Cash / Self-Pay

$2,008

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,095

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%)

Cash / Self-Pay: $2,008 (824%)

Insurance Median: $2,095 (859%)

Cash: $2,008 (824% of Medicare)

Ins. Median: $2,095 (859% 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 859% of the Medicare baseline (a markup of 759%). 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	$185 - $2,804	76%
Humana	$231 - $3,179	95%
Pace Of The Southern Piedmont	$231	95%
UnitedHealthcare	$231 - $2,747	95%
Aetna	$237 - $3,265	97%
Cigna	$238 - $2,424	98%
Liberty Health	$243	100%
Nc Department Of Public Safety	$463 - $758	190%
Carolina Complete	$608 - $758	249%
Amerihealth	$620 - $773	254%
Wellcare	$620 - $773	254%
Caresource North Carolina	$1,309 - $1,632	537%
Atlantic Corporation Dba Atlantic Packaging	$1,849 - $2,306	759%
Plotkin Health	$1,964 - $2,449	806%
Amps	$2,127 - $2,653	873%
Medcost	$2,782 - $3,836	1141%
Primary Physician Care	$2,880 - $3,591	1181%
Beechstreet	$2,946 - $3,673	1209%
Multiplan	$2,946 - $3,673	1209%
Phcs	$2,946 - $3,673	1209%
Employers Choice Network	$3,175 - $3,959	1302%
Three Rivers Provider Network	$3,175 - $3,959	1302%

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 $2,008.
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 Novant Health Forsyth Medical Center 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.