CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Lonesome Pine Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$424

about 1.2× the $356 Medicare rate · typically $360–$608

modeled estimate · not a bill or quote

What this hospital charges insurers

$420

About the fair price

about $4 under the fair price · 1.2× Medicare

Medicare pays $356 Fair price $424 This hospital $420 Cash price $560 Hospital's list price $3,731

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $323 Priciest $420

Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $424 (about 1.2× the $356 Medicare rate). Lonesome Pine Hospital charges insurers about $420, or about $560 in cash — about the fair price. Located in Big Stone Gap, VA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$290 - $3,026	81%
Blue Cross Blue Shieldmajor	$237 - $3,731	66%
Aetnamajor	$340 - $1,593	95%
Cignamajor	$357 - $642	100%
Humanamajor	$340	95%
Ambetter (Centene)	$742	208%
Amerigroup	$340	95%
Devoted Health	$357	100%
Molina	$357 - $428	100%
Sentara	$340 - $945	95%
WellCare	$361	101%
+ 4 smaller / regional plans	$340 - $817

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 560), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74177.

Insurance Before you use insurance

Call your insurance company to confirm Lonesome Pine Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 74177.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Lonesome Pine Hospital

Compare: CT scan, abdomen and pelvis (with contrast) at other VA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.