CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Lewisgale Hospital Alleghany

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $5,614
Cash Discount Price: $11,341
vs. Medicare Baseline: 15.75x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Lewisgale Hospital Alleghany is $5,614. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,341. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 15.75x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.

Cash / Self-Pay

$11,341

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,614

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: $11,341 (3182%)

Insurance Median: $5,614 (1575%)

Cash: $11,341 (3182% of Medicare)

Ins. Median: $5,614 (1575% 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 1575% of the Medicare baseline (a markup of 1475%). 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	$432 - $1,779	121%
United	$828 - $5,103	232%
Lifeworks	$2,155	605%
Universal Healthcare Group	$2,495	700%
Aetna	$2,807 - $6,124	788%
Virginia Health Network	$3,969 - $8,052	1114%
Greenvbrier Sporting Club	$6,805	1909%
Corvel	$8,166	2291%
Csx Hotels	$9,073	2546%
Occunet Workers Comp	$9,073	2546%
Health Payors Organization	$9,640	2705%
4Most	$10,207	2864%
Alleghany Highland Community	$10,207	2864%
American Postal Workers Union	$10,207	2864%
C&O Employees Hospital Assn	$10,207	2864%
Community Care Network	$10,207	2864%
Multiplan	$10,207	2864%
One Health Plan	$10,207	2864%

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 $11,341.
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 Alleghany 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.