CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Allendale County Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $346
  • Cash Discount Price: $744
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Allendale County Hospital is $346. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $744. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.97x the Medicare baseline. Located in 1787 Allendale Fairfax Rd, Fairfax, SC.
Cash / Self-Pay
$744

Average discount available for prompt cash payment at this facility.

Insurance Median
$346

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: $744 (209%)
Insurance Median: $346 (97%)
Cash: $744 (209% of Medicare)
Ins. Median: $346 (97% 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.

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
Aetna $682 191%
Devoted_Health_Plan $682 191%
Emblem_Health_Plan $682 191%
Eon_Health_Plan $682 191%
Freedom_Health_Plan $682 191%
Healthsun_Health_Plan_Plan $682 191%
Humana $682 191%
Medicare (plans) $682 191%
Pruitt_Health_Premier_Plan $682 191%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1787 Allendale Fairfax Rd, Fairfax, SC 29827
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals