CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Carolina East Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,132
Cash Discount Price: $2,267
vs. Medicare Baseline: 3.18x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Carolina East Medical Center is $1,132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,267. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.18x the Medicare baseline. Located in 2000 Neuse Blvd, New Bern, NC.

Cash / Self-Pay

$2,267

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,132

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: $2,267 (636%)

Insurance Median: $1,132 (318%)

Cash: $2,267 (636% of Medicare)

Ins. Median: $1,132 (318% 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 318% of the Medicare baseline (a markup of 218%). 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
Humana	$81 - $333	23%
Inclusive Health (Nchirp)-All Plans	$81 - $333	23%
Tricare	$81 - $6,303	23%
Pamlico Co Jail-All Plans	$333 - $1,677	93%
UnitedHealthcare	$439 - $4,481	123%
Craven Co. Jail Systems - All Plans	$547 - $2,124	153%
Medcost Ppo Employees And Retirees	$823 - $4,139	231%
Medcost Ppo Ultra (Employees)	$823 - $3,943	231%
Blue Cross Blue Shield	$875 - $4,323	245%
Medcost Ppo City Employees	$913 - $4,591	256%
Medcost Ppo County Employee	$949 - $4,775	266%
Benefit Mgmt, Svcs-All Plans	$1,065 - $5,358	299%
Medcost Benefit Svc-All Other Plans	$1,107 - $5,571	311%
Aetna	$1,110 - $5,584	311%
Acs Consult Svc Inc-All Plans	$1,132 - $5,693	318%
Medcost Ppo Standard	$1,132 - $5,693	318%
Cigna	$1,140 - $5,736	320%

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 $2,267.
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 Carolina East 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.