CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Stanly Regional Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,509
  • Cash Discount Price: $3,217
  • vs. Medicare Baseline: 4.23x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Stanly Regional Medical Center is $1,509. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,217. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.23x the Medicare baseline. Located in 301 Yadkin St, Albemarle, NC.
Cash / Self-Pay
$3,217

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,509

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: $3,217 (903%)
Insurance Median: $1,509 (423%)
Cash: $3,217 (903% of Medicare)
Ins. Median: $1,509 (423% 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 423% of the Medicare baseline (a markup of 323%). 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
Trillium $72 - $802 20%
Amerihealth Caritas $73 - $787 20%
Carolina Complete Health $73 - $779 20%
Healthy Blue $73 - $779 20%
Partners $73 - $772 20%
UnitedHealthcare $73 - $4,356 20%
Vaya $73 - $787 20%
Wellcare $73 - $779 20%
Alliance $74 - $795 21%
Cigna $81 - $5,147 23%
Humana $82 - $346 23%
Aetna $84 - $5,791 24%
Blue Cross Blue Shield $359 - $1,728 101%
Ambetter / Centene $1,968 - $2,394 552%
Employers Health Network $2,844 - $3,719 798%
Physician Reach Out $3,217 903%
Magellan $3,861 1083%
Medcost $4,099 - $6,177 1150%
Gmmi $4,182 1173%
Quik Trip $4,182 1173%
Carolina Behavioral Health $4,633 - $5,147 1300%
First Health $5,791 1625%
Healthgram $5,791 1625%
Choicecare $6,048 1697%
Lifesynch Community Choice Care $6,048 1697%
Multiplan $6,048 1697%
Private Health Care Systems $6,048 1697%
Beechstreet $6,177 1733%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 Yadkin St, Albemarle, NC 28001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals