CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Novant Health Thomasville Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,045
Cash Discount Price: $3,384
vs. Medicare Baseline: 2.93x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Novant Health Thomasville Medical Center is $1,045. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,384. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.93x the Medicare baseline. Located in 207 Old Lexington Rd Box 789, Thomasville, NC.

Cash / Self-Pay

$3,384

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,045

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: $3,384 (949%)

Insurance Median: $1,045 (293%)

Cash: $3,384 (949% of Medicare)

Ins. Median: $1,045 (293% 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 293% of the Medicare baseline (a markup of 193%). 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	$290 - $3,875	81%
Humana	$338 - $4,394	95%
Pace Of The Southern Piedmont	$338	95%
UnitedHealthcare	$338 - $3,796	95%
Aetna	$347 - $4,512	97%
Cigna	$349 - $3,435	98%
Liberty Health	$355	100%
Nc Department Of Public Safety	$677 - $1,025	190%
Carolina Complete	$1,025	288%
Amerihealth	$1,045	293%
Wellcare	$1,045	293%
Caresource North Carolina	$2,256	633%
Atlantic Corporation Dba Atlantic Packaging	$3,187	894%
Plotkin Health	$3,384	949%
Amps	$3,666	1029%
Medcost	$4,794 - $5,302	1345%
Primary Physician Care	$4,963	1392%
Multiplan	$5,076	1424%
Phcs	$5,076	1424%
Employers Choice Network	$5,471	1535%
Three Rivers Provider Network	$5,471	1535%

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 $3,384.
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 Novant Health Thomasville 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.