CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Lewisgale Hospital Montgomery

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $4,234
Cash Discount Price: $7,056
vs. Medicare Baseline: 11.88x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Lewisgale Hospital Montgomery is $4,234. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,056. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 11.88x the Medicare baseline. Located in 3700 South Main Street, Blacksburg, VA.

Cash / Self-Pay

$7,056

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,234

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: $7,056 (1980%)

Insurance Median: $4,234 (1188%)

Cash: $7,056 (1980% of Medicare)

Ins. Median: $4,234 (1188% 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 1188% of the Medicare baseline (a markup of 1088%). 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	$354 - $1,456	99%
United	$828 - $3,175	232%
Cigna	$1,228	345%
Lifeworks	$1,341	376%
Universal Healthcare Group	$1,552	435%
Virginia Health Network	$2,470 - $5,010	693%
Aetna	$2,807 - $4,356	788%
Greenvbrier Sporting Club	$4,234	1188%
Corvel	$5,080	1425%
Richfield Nursing Center	$5,292	1485%
Richfield Retirement Community	$5,292	1485%
Multiplan	$5,433	1524%
Community Care Network	$5,645	1584%
Graham-White Manufacturing	$5,645	1584%
Occunet Workers Comp	$5,645	1584%
One Health Plan	$5,645	1584%
Phcs	$5,998	1683%
Patients Choice	$6,209	1742%
4Most	$6,350	1782%
American Postal Workers Union	$6,350	1782%
Star Transportation	$6,350	1782%

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 $7,056.
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 Lewisgale Hospital Montgomery 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.