CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Carolinas Rehabilitation

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,786
Cash Discount Price: $3,217
vs. Medicare Baseline: 7.82x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Carolinas Rehabilitation is $2,786. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,217. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 7.82x the Medicare baseline. Located in 1100 Blythe Blvd, Charlotte, NC.

Cash / Self-Pay

$3,217

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,786

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: $3,217 (903%)

Insurance Median: $2,786 (782%)

Cash: $3,217 (903% of Medicare)

Ins. Median: $2,786 (782% 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 782% of the Medicare baseline (a markup of 682%). 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
Amerihealth Caritas	$73 - $2,504	20%
Carolina Complete Health	$73 - $2,551	20%
Healthy Blue	$73 - $2,551	20%
UnitedHealthcare	$73 - $4,221	20%
Wellcare	$73 - $2,551	20%
Cigna	$81 - $4,343	23%
Humana	$82 - $364	23%
Aetna	$84 - $5,469	24%
Blue Cross Blue Shield	$359 - $3,094	101%
Ambetter / Centene	$1,968 - $2,394	552%
Employers Health Network	$2,844	798%
Physician Reach Out	$3,217	903%
Medcost	$3,764 - $4,311	1056%
Quik Trip	$4,182	1173%
Choicecare	$5,019	1408%
Healthgram	$5,147	1444%
Private Health Care Systems	$5,276	1480%
First Health	$5,469	1534%
Beechstreet	$5,920	1661%
Multiplan	$5,920	1661%

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 $3,217.
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 Carolinas Rehabilitation 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.