CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: The University of Vermont Health Network - Champl

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $197
Cash Discount Price: $2,929
vs. Medicare Baseline: 0.55x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at The University of Vermont Health Network - Champl is $197. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,929. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.55x the Medicare baseline. Located in 75 Beekman Street, Plattsburgh, NY.

Cash / Self-Pay

$2,929

Average discount available for prompt cash payment at this facility.

Insurance Median

$197

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: $2,929 (822%)

Insurance Median: $197 (55%)

Cash: $2,929 (822% of Medicare)

Ins. Median: $197 (55% 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	$57 - $4,283	16%
Blue Cross Blue Shield	$66 - $3,592	19%
Mvp	$69 - $4,467	19%
Martins Point	$81 - $467	23%
Aetna	$82 - $4,002	23%
Capital District Physicians' Health Plan	$82 - $4,425	23%
Fidelis Care	$82 - $436	23%
Humana	$82 - $415	23%
Veterans Affairs Community Care Network	$82 - $436	23%
Highmark Blueshield	$103 - $4,434	29%
Wellpath	$114 - $655	32%
Harvard Pilgrim	$195 - $4,490	55%
Magnacare	$195 - $4,490	55%
St. Regis	$195 - $436	55%
Coventry	$220 - $5,052	62%
Multiplan	$232 - $5,332	65%
Emblem Health	$4,490	1260%

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 $2,929.
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 University of Vermont Health Network - Champl 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.