CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Incline Village Community Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $516
Cash Discount Price: $2,079
vs. Medicare Baseline: 1.45x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Incline Village Community Hospital is $516. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,079. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.45x the Medicare baseline. Located in 880 Alder Street, Incline Village, NV.

Cash / Self-Pay

$2,079

Average discount available for prompt cash payment at this facility.

Insurance Median

$516

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: $2,079 (583%)

Insurance Median: $516 (145%)

Cash: $2,079 (583% of Medicare)

Ins. Median: $516 (145% 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.

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
UnitedHealthcare	$74 - $3,258	21%
Medicare (plans)	$83 - $1,412	23%
Healthnet - All Plans	$112 - $3,439	31%
Blue Cross Blue Shield	$286 - $3,258	80%
Ca Hlth And Wellness - All Plans	$366 - $3,692	103%
Aetna	$473 - $3,186	133%
Prominence Healthfirst - All Plans	$473 - $3,186	133%
Admar Multiplan - All Plans	$483 - $3,258	136%
First Health - All Plans	$483 - $3,258	136%
Great West/One Health - All Plans	$483 - $3,258	136%
Hometown Hp - All Plans	$483 - $3,258	136%
Humana	$483 - $3,258	136%
Interplan - All Plans	$483 - $3,258	136%
Multiplan - All Plans	$483 - $3,258	136%
Phcs - All Plans	$483 - $3,258	136%
Cigna	$494 - $3,330	139%
Beech Street/Capp Care - All Plans	$510 - $3,439	143%
Uhn - All Plans	$510 - $3,439	143%
Sierra Health - All Plans	$521 - $3,511	146%

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 $2,079.
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 Incline Village Community 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.