CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Pender Memorial Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $802
Cash Discount Price: $1,260
vs. Medicare Baseline: 3.29x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Pender Memorial Hospital is $802. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,260. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.29x the Medicare baseline. Located in 507 E Fremont St, Burgaw, NC.

Cash / Self-Pay

$1,260

Average discount available for prompt cash payment at this facility.

Insurance Median

$802

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $1,260 (517%)

Insurance Median: $802 (329%)

Cash: $1,260 (517% of Medicare)

Ins. Median: $802 (329% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 329% of the Medicare baseline (a markup of 229%). 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	$185 - $1,033	76%
Humana	$718 - $2,408	295%
Pace Of The Southern Piedmont	$756	310%
New Hanover Health	$771	316%
Aetna	$775 - $2,380	318%
Cigna	$779 - $1,235	320%
Carolina Complete	$787	323%
Nc Department Of Public Safety	$787 - $1,512	323%
Amerihealth	$802	329%
Wellcare	$802	329%
Ambetter / Centene	$1,058	434%
Liberty Health	$1,074	441%
Caresource North Carolina	$1,120	459%
Plotkin Health	$1,680	689%
UnitedHealthcare	$2,044	838%
Medcost	$2,108 - $2,349	865%
Employers Choice Network	$2,716	1114%
Three Rivers Provider Network	$2,716	1114%

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 $1,260.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Pender Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.