CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Lewisgale Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $7,784
Cash Discount Price: $12,973
vs. Medicare Baseline: 31.93x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Lewisgale Medical Center is $7,784. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,973. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 31.93x the Medicare baseline. Located in 1900 Electric Road, Salem, VA.

Cash / Self-Pay

$12,973

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,784

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: $12,973 (5322%)

Insurance Median: $7,784 (3193%)

Cash: $12,973 (5322% of Medicare)

Ins. Median: $7,784 (3193% 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 3193% of the Medicare baseline (a markup of 3093%). 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
Blue Cross Blue Shield	$365 - $952	150%
United	$518 - $5,838	212%
Cigna	$2,257	926%
Lifeworks	$2,465	1011%
Aetna	$2,807 - $4,356	1151%
Universal Healthcare Group	$2,854	1171%
Virginia Health Network	$4,541 - $9,211	1863%
Naphcare	$6,486	2661%
Greenvbrier Sporting Club	$7,784	3193%
Graham-White Manufacturing	$9,081	3725%
Richfield Nursing Center	$9,081	3725%
Corvel	$9,341	3832%
Community Care Network	$9,730	3991%
Richfield Retirement Community	$9,730	3991%
Csx Hotels	$10,378	4257%
Occunet Workers Comp	$10,378	4257%
One Health Plan	$10,378	4257%
Patients Choice	$11,416	4683%
4Most	$11,676	4790%
Alleghany Highland Community	$11,676	4790%
American Postal Workers Union	$11,676	4790%
C&O Employees Hospital Assn	$11,676	4790%
Multiplan	$11,676	4790%
Phcs	$11,676	4790%
Star Transportation	$11,676	4790%

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 $12,973.
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 Lewisgale 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.