CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Pender Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $962
Cash Discount Price: $1,511
vs. Medicare Baseline: 2.70x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Pender Memorial Hospital is $962. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,511. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.70x the Medicare baseline. Located in 507 E Fremont St, Burgaw, NC.

Cash / Self-Pay

$1,511

Average discount available for prompt cash payment at this facility.

Insurance Median

$962

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: $1,511 (424%)

Insurance Median: $962 (270%)

Cash: $1,511 (424% of Medicare)

Ins. Median: $962 (270% 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 270% of the Medicare baseline (a markup of 170%). 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 - $1,239	81%
Humana	$861 - $2,888	242%
Pace Of The Southern Piedmont	$907	254%
New Hanover Health	$925	260%
Aetna	$929 - $2,854	261%
Cigna	$934 - $1,481	262%
Carolina Complete	$943	265%
Nc Department Of Public Safety	$943 - $1,813	265%
Amerihealth	$962	270%
Wellcare	$962	270%
Ambetter / Centene	$1,269	356%
Liberty Health	$1,288	361%
Caresource North Carolina	$1,343	377%
Plotkin Health	$2,015	565%
UnitedHealthcare	$2,451	688%
Medcost	$2,529 - $2,817	710%
Employers Choice Network	$3,257	914%
Three Rivers Provider Network	$3,257	914%

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 $1,511.
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 Pender Memorial Hospital 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.