CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Parkland Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,870
Cash Discount Price: $7,011
vs. Medicare Baseline: 5.25x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Parkland Medical Center is $1,870. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,011. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.25x the Medicare baseline. Located in 1 Parkland Drive, Derry, NH.

Cash / Self-Pay

$7,011

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,870

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: $7,011 (1967%)

Insurance Median: $1,870 (525%)

Cash: $7,011 (1967% of Medicare)

Ins. Median: $1,870 (525% 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 525% of the Medicare baseline (a markup of 425%). 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	$217	61%
Blue Cross Blue Shield	$437 - $1,876	123%
Well Sense Health Plan	$525	147%
Harvard Pilgrim	$1,239 - $3,156	348%
United	$1,472 - $4,256	413%
Maine Community Health	$2,192 - $3,715	615%
Tufts Health Plan	$4,010 - $4,131	1125%
Aetna	$4,172 - $4,683	1170%
Corvel	$5,048	1416%
Evernorth	$5,609	1574%
Healthcare Value Mgmt	$5,889	1652%
First Health	$5,959	1672%
Oxford Health Plans	$6,660	1869%

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 $7,011.
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 Parkland Medical Center 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.