CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Wilkes Regional Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,964
Cash Discount Price: $2,903
vs. Medicare Baseline: 8.32x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Wilkes Regional Medical Center is $2,964. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,903. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 8.32x the Medicare baseline. Located in 1370 West D St, North Wilkesboro, NC.

Cash / Self-Pay

$2,903

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,964

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: $2,903 (814%)

Insurance Median: $2,964 (832%)

Cash: $2,903 (814% of Medicare)

Ins. Median: $2,964 (832% 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 832% of the Medicare baseline (a markup of 732%). 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
Healthteam	$351	98%
Amerihealth	$1,086 - $3,373	305%
Carolina Complete	$1,086	305%
Healthblue	$1,086	305%
Partners	$1,086	305%
UnitedHealthcare	$1,097 - $3,100	308%
Vaya	$1,097	308%
Wellcare	$1,097	308%
Alliance	$1,108	311%
Trillium	$1,119	314%
Medcost	$1,672 - $4,145	469%
Blue Cross Blue Shield	$2,016 - $3,388	566%
Aetna	$2,206 - $3,989	619%
Ambetter / Centene	$2,456 - $3,536	689%
Cigna	$3,042 - $3,147	853%
Oscar	$3,193 - $3,774	896%
Directnet	$3,431	963%
Private Healthcare Systems	$5,225	1466%
Multiplan	$5,342	1499%

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 $2,903.
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 Wilkes Regional Medical Center 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.