CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Lonesome Pine Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $422
  • Cash Discount Price: $560
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Lonesome Pine Hospital is $422. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $560. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.18x the Medicare baseline. Located in 1990 Holton Avenue East, Big Stone Gap, VA.
Cash / Self-Pay
$560

Average discount available for prompt cash payment at this facility.

Insurance Median
$422

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: $560 (157%)
Insurance Median: $422 (118%)
Cash: $560 (157% of Medicare)
Ins. Median: $422 (118% 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
Blue Cross Blue Shield $237 - $3,731 66%
UnitedHealthcare $290 - $3,026 81%
Aetna $340 - $1,593 95%
Amerigroup $340 95%
Humana $340 95%
Managed Medicaire $340 95%
Medicare (plans) $340 95%
Sentara Health $340 - $945 95%
United Mine Workers Of America $340 95%
Cigna $357 - $642 100%
Devoted Health Plan $357 100%
Molina Healthcare $357 - $428 100%
Mountain Empire Pace $357 100%
Nhc Advantage $357 100%
Wellcare $361 101%
Optima Health $421 118%
Ambetter / Centene $742 208%
Seven Corners, Inc. $817 229%
Medcost $1,776 498%
First Health Coventry $3,358 942%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1990 Holton Avenue East, Big Stone Gap, VA 24219
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals