CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Colleton Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $2,213
Cash Discount Price: $9,737
vs. Medicare Baseline: 9.08x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Colleton Medical Center is $2,213. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,737. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.08x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.

Cash / Self-Pay

$9,737

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,213

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $9,737 (3994%)

Insurance Median: $2,213 (908%)

Cash: $9,737 (3994% of Medicare)

Ins. Median: $2,213 (908% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 908% of the Medicare baseline (a markup of 808%). 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
Select Health	$182	75%
Blue Choice	$367	151%
United	$367 - $5,377	151%
Absolute Total Care	$409 - $1,823	168%
Sc State Employees	$534 - $596	219%
Blue Choice Health Plan	$1,159 - $1,211	475%
Blue Cross Blue Shield	$1,159 - $9,621	475%
Nhc Advantage	$1,924	789%
Pruitt Health	$1,924	789%
Employers Health Network	$4,557	1869%
Value Option	$5,064	2077%
Vocational Rehab	$5,469	2244%
Medcost	$5,712 - $7,393	2343%
Aetna	$5,864	2406%
Cigna	$6,542	2684%
Humana	$6,583 - $9,114	2700%
Evernorth	$8,102	3324%
Multiplan	$8,608	3531%
North American Administrators	$8,608	3531%
Prime Health	$8,608	3531%
First Health	$9,114	3739%
Novanet	$9,114	3739%

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 $9,737.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Colleton Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.