CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: North Carolina Baptist Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,793
  • Cash Discount Price: $2,821
  • vs. Medicare Baseline: 5.03x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at North Carolina Baptist Hospital is $1,793. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,821. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.03x the Medicare baseline. Located in Medical Center Boulevard, Winston-Salem, NC.
Cash / Self-Pay
$2,821

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,793

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: $2,821 (791%)
Insurance Median: $1,793 (503%)
Cash: $2,821 (791% of Medicare)
Ins. Median: $1,793 (503% 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 503% of the Medicare baseline (a markup of 403%). 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
Aetna $346 - $4,923 97%
Apex $346 97%
Blue Cross Blue Shield $346 - $2,129 97%
Cigna $346 - $3,475 97%
Devoted $346 97%
Healthteam $346 97%
UnitedHealthcare $346 - $1,326 97%
Wellcare $346 - $1,326 97%
Humana $349 - $3,168 98%
Medicare (plans) $349 98%
Liberty $398 112%
Medcost $1,087 - $3,852 305%
Amerihealth $1,241 - $1,561 348%
Carolina Complete $1,241 - $1,309 348%
Health Blue $1,241 - $1,309 348%
Partners $1,241 - $1,309 348%
Vaya $1,253 - $1,322 352%
Alliance $1,265 - $1,335 355%
Trillium $1,278 - $1,348 359%
Ambetter / Centene $1,482 - $1,564 416%
Oscar $1,647 - $2,085 462%
Directnet $3,245 - $3,423 910%
Cone Health $3,843 - $4,054 1078%
Healthgram $3,843 - $4,054 1078%
First Carolina Care $4,392 - $4,634 1232%
Private Healthcare Systems $4,502 - $4,749 1263%
Multiplan $4,941 - $5,213 1386%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Medical Center Boulevard, Winston-Salem, NC 27157
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals