CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Caromont Regional Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,209
  • Cash Discount Price: $7,873
  • vs. Medicare Baseline: 3.39x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Caromont Regional Medical Center is $1,209. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,873. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.39x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.
Cash / Self-Pay
$7,873

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,209

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: $7,873 (2209%)
Insurance Median: $1,209 (339%)
Cash: $7,873 (2209% of Medicare)
Ins. Median: $1,209 (339% 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 339% of the Medicare baseline (a markup of 239%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $356 - $3,148 100%
UnitedHealthcare $356 - $1,209 100%
Aetna $371 - $1,023 104%
Devoted Health $374 105%
Healthteam $374 105%
Longevity Health $374 105%
Molina $374 - $2,212 105%
Humana $381 - $6,928 107%
Surgery Plus $624 175%
Cigna $663 - $1,063 186%
Carolina Caring $891 - $6,235 250%
Corporate Benefits Service $959 269%
Carolina Complete Health $1,185 332%
Partners Behavioral Health $1,185 332%
Alliance Behavioral Health $1,209 339%
Amerihealth Caritas $1,209 339%
Carolina Complete Health Tailored Plans $1,209 339%
Vaya Behavioral Health $1,209 339%
Wellcare $1,209 339%
Absolute Total Care $2,212 621%
Gaston County Jail $2,370 665%
Medcost $3,787 1062%
Self Pay $3,936 1104%
Beech Street $6,456 1811%
Multiplan $6,456 1811%
First Health Network $7,479 2098%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2525 Court Dr, Gastonia, NC 28052
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals