CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Vidant Chowan Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $6,046
  • Cash Discount Price: $5,349
  • vs. Medicare Baseline: 16.96x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Vidant Chowan Hospital is $6,046. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,349. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 16.96x the Medicare baseline. Located in 211 Virginia Rd, Edenton, NC.
Cash / Self-Pay
$5,349

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,046

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: $5,349 (1501%)
Insurance Median: $6,046 (1696%)
Cash: $5,349 (1501% of Medicare)
Ins. Median: $6,046 (1696% 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 1696% of the Medicare baseline (a markup of 1596%). 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
Blue Cross Blue Shield $2,868 - $5,798 805%
Carolina Complete Health [1317] $2,896 813%
Wellcare [1320] $2,910 816%
Amerihealth McAid Adv [1316] $2,925 821%
Humana $2,961 831%
UnitedHealthcare $3,219 - $5,884 903%
Liberty Advantage [1313] $3,315 930%
Aetna $3,410 - $7,814 957%
Longevity Health [1411] $4,098 1150%
Nc Dept of Public Safety [1095] $5,349 1501%
Medcost [1067] $6,046 - $6,371 1696%
Cigna $8,119 - $9,074 2278%
Multiplan [1031] $9,074 2546%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 211 Virginia Rd, Edenton, NC 27932
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals