CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Colleton Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $3,171
Cash Discount Price: $10,053
vs. Medicare Baseline: 8.90x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Colleton Medical Center is $3,171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,053. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 8.90x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.

Cash / Self-Pay

$10,053

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,171

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: $10,053 (2820%)

Insurance Median: $3,171 (890%)

Cash: $10,053 (2820% of Medicare)

Ins. Median: $3,171 (890% 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 890% of the Medicare baseline (a markup of 790%). 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	$388	109%
Blue Choice	$443	124%
United	$443 - $5,552	124%
Absolute Total Care	$625 - $1,882	175%
Sc State Employees	$873 - $974	245%
Blue Choice Health Plan	$1,661 - $1,735	466%
Blue Cross Blue Shield	$1,661 - $9,933	466%
Nhc Advantage	$1,987	557%
Pruitt Health	$1,987	557%
Employers Health Network	$4,705	1320%
Value Option	$5,228	1467%
Vocational Rehab	$5,646	1584%
Medcost	$5,897 - $7,633	1654%
Aetna	$6,054	1699%
Cigna	$6,755	1895%
Humana	$6,796 - $9,410	1907%
Evernorth	$8,365	2347%
Multiplan	$8,888	2494%
North American Administrators	$8,888	2494%
Prime Health	$8,888	2494%
First Health	$9,410	2640%
Novanet	$9,410	2640%

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 $10,053.
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 Colleton 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.