CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Lewisgale Hospital Pulaski

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $7,912
Cash Discount Price: $15,070
vs. Medicare Baseline: 32.46x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Lewisgale Hospital Pulaski is $7,912. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,070. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 32.46x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.

Cash / Self-Pay

$15,070

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,912

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: $15,070 (6182%)

Insurance Median: $7,912 (3246%)

Cash: $15,070 (6182% of Medicare)

Ins. Median: $7,912 (3246% 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 3246% of the Medicare baseline (a markup of 3146%). 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	$279 - $728	114%
United	$518 - $6,782	212%
Aetna	$2,807 - $6,782	1151%
Lifeworks	$2,863	1174%
Universal Healthcare Group	$3,315	1360%
Virginia Health Network	$5,274 - $10,700	2164%
Greenvbrier Sporting Club	$9,042	3709%
Corvel	$10,850	4451%
Richfield Nursing Center	$11,302	4636%
Richfield Retirement Community	$11,302	4636%
Multiplan	$11,604	4760%
Community Care Network	$12,056	4946%
Graham-White Manufacturing	$12,056	4946%
Occunet Workers Comp	$12,056	4946%
One Health Plan	$12,056	4946%
Patients Choice	$13,262	5440%
4Most	$13,563	5564%
American Postal Workers Union	$13,563	5564%
Phcs	$13,563	5564%
Star Transportation	$13,563	5564%

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 $15,070.
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 Hospital Pulaski 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.