CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Spotsylvania Regional Medical Center

Billing Code: 74177 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$869

about 2.4× the $356 Medicare rate · typically $411–$1,276

modeled estimate · not a bill or quote

What this hospital charges insurers

$801

About the fair price

about $68 under the fair price · 2.3× Medicare

Medicare pays $356 Fair price $869 This hospital $801 Cash price $5,870 Hospital's list price $5,870

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 $801

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $869 (about 2.4× the $356 Medicare rate). Spotsylvania Regional Medical Center charges insurers about $801, or about $5,870 in cash — about the fair price. Located in Fredericksburg, 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✓ Kaiser Permanente Humana

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	$828 - $2,641	232%
Blue Cross Blue Shieldmajor	$215 - $1,097	60%
Aetnamajor	$1,819	510%
Cignamajor	$1,561 - $1,978	438%
Kaiser Permanentemajor	$3,463	972%
Health Net	$2,054 - $3,815	576%
+ 3 smaller / regional plans	$1,115 - $5,283

Excludes 4 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 5,870), 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 Spotsylvania Regional Medical Center 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 Spotsylvania Regional Medical Center

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

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