CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Lewisgale Hospital Pulaski

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $8,709
Cash Discount Price: $16,588
vs. Medicare Baseline: 24.43x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Lewisgale Hospital Pulaski is $8,709. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,588. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 24.43x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.

Cash / Self-Pay

$16,588

Average discount available for prompt cash payment at this facility.

Insurance Median

$8,709

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: $16,588 (4654%)

Insurance Median: $8,709 (2443%)

Cash: $16,588 (4654% of Medicare)

Ins. Median: $8,709 (2443% 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 2443% of the Medicare baseline (a markup of 2343%). 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	$292 - $1,202	82%
United	$828 - $7,465	232%
Aetna	$2,807 - $7,465	788%
Lifeworks	$3,152	884%
Universal Healthcare Group	$3,649	1024%
Virginia Health Network	$5,806 - $11,777	1629%
Greenvbrier Sporting Club	$9,953	2792%
Corvel	$11,943	3351%
Richfield Nursing Center	$12,441	3490%
Richfield Retirement Community	$12,441	3490%
Multiplan	$12,773	3584%
Community Care Network	$13,270	3723%
Graham-White Manufacturing	$13,270	3723%
Occunet Workers Comp	$13,270	3723%
One Health Plan	$13,270	3723%
Patients Choice	$14,597	4095%
4Most	$14,929	4188%
American Postal Workers Union	$14,929	4188%
Phcs	$14,929	4188%
Star Transportation	$14,929	4188%

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 $16,588.
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 Pulaski 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.