CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: Prisma Health North Greenville Ltach
Billing Code: 74177 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74177
- Insurance Median: $368
- Cash Discount Price: $3,397
- vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Prisma Health North Greenville Ltach is $368. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,397. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.03x the Medicare baseline. Located in 807 N Main St, Travelers Rest, SC.
Cash / Self-Pay
$3,397
Average discount available for prompt cash payment at this facility.
Insurance Median
$368
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: $3,397 (953%)
Insurance Median: $368 (103%)
Cash: $3,397 (953% of Medicare)
Ins. Median: $368 (103% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| First Choice Benefits Mgmt [3074] | $333 | 93% |
| Medicaid / KanCare | $333 - $805 | 93% |
| Medicare (plans) | $333 - $368 | 93% |
| Tricare | $333 | 93% |
| Blue Cross Blue Shield | $334 - $2,858 | 94% |
| Champva [3049] | $334 | 94% |
| Cigna | $334 - $2,365 | 94% |
| Covid19 Hrsa Uninsured Testing & Treatment Fund [904] | $334 | 94% |
| Deseret Mutual Ins Co [3066] | $334 | 94% |
| Generic Skilled Nursing [3196] | $334 | 94% |
| Hospice Contracted [1500] | $334 | 94% |
| Hospice Non Contracted [3190] | $334 | 94% |
| Triwest Healthcare Alliance Vcp [902] | $334 | 94% |
| Va Community Care Network-Vaccn [903] | $334 | 94% |
| Veterans Administration [3194] | $334 | 94% |
| Humana | $341 - $356 | 96% |
| UnitedHealthcare | $346 - $1,692 | 97% |
| Aetna | $351 - $4,129 | 98% |
| Healthy Conn Prime-Wellcare Prime By Atc [5310] | $351 | 98% |
| Healthy Conn Prime-First Choice Vip Care [5300] | $354 | 99% |
| Healthy Conn Prime-Molina Healthcare [5330] | $368 | 103% |
| Workers Comp [600] | $468 | 131% |
| Ambetter / Centene | $615 | 173% |
| Scdc-Sc Dept Of Corrections [7232] | $873 | 245% |
| Prisma Health Seniorcare Pace - Midlands [5400] | $1,212 | 340% |
| Prisma Health Seniorcare Pace-Upstate [5200] | $1,212 | 340% |
| Bluechoice [810] | $1,510 - $3,012 | 424% |
| Golden Rule Insurance Company [2991] | $1,692 | 475% |
| Oxford Health Plans [2992] | $1,692 | 475% |
| Zzumr-Salt Lake City Ut [3169] | $1,692 | 475% |
| Promise Health Plan Contracted [2401] | $1,829 - $1,875 | 513% |
| Bob Jones Univ-Pai [821] | $1,840 | 516% |
| Orangeburg Senior Helping Center Pace [5401] | $2,090 | 586% |
| Evernorth Behavioral Contracted [2982] | $2,365 | 664% |
| Mvp Health Care [3037] | $2,365 | 664% |
| Planned Administrators [820] | $2,858 | 802% |
| Meritain Health Contracted [2200] | $3,345 - $4,129 | 938% |
| Preferred Administrators Contracted [2839] | $3,658 | 1026% |
| Medcost [2940] | $3,867 - $4,338 | 1085% |
| Atlantic Packaging Contracted [4833] | $3,920 | 1100% |
| Aps Healthcare System [2981] | $4,181 | 1173% |
| Multiplan/Phcs Contracted [2950] | $4,651 | 1305% |
| Vsp Vision Care [2986] | $4,703 | 1319% |
| First Health Contracted [2952] | $4,860 | 1364% |
| Furman Int/Allen University Student [2951] | $4,860 | 1364% |
| Quiktrip-First Health [3067] | $4,860 | 1364% |