CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: The Outer Banks Hospital, Inc

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $6,221
Cash Discount Price: $5,410
vs. Medicare Baseline: 17.45x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at The Outer Banks Hospital, Inc is $6,221. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,410. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 17.45x the Medicare baseline. Located in 4800 South Croatan Highway, Nags Head, NC.

Cash / Self-Pay

$5,410

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,221

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: $5,410 (1518%)

Insurance Median: $6,221 (1745%)

Cash: $5,410 (1518% of Medicare)

Ins. Median: $6,221 (1745% 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 1745% of the Medicare baseline (a markup of 1645%). 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	$2,995 - $5,923	840%
Carolina Complete Health [1317]	$3,150	884%
Wellcare [1320]	$3,166	888%
Amerihealth McAid Adv [1316]	$3,182	893%
Liberty Advantage [1313]	$3,555	997%
UnitedHealthcare	$3,642 - $5,670	1022%
Humana	$3,671	1030%
Aetna	$3,753 - $7,564	1053%
Longevity Health [1411]	$4,395	1233%
Nc Dept of Public Safety [1095]	$6,086	1707%
Medcost [1067]	$6,221 - $6,511	1745%
Cigna	$8,211 - $9,177	2304%
Multiplan [1031]	$9,177	2575%

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 $5,410.
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 The Outer Banks Hospital, Inc 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.