CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Spotsylvania Regional Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,731
Cash Discount Price: $5,870
vs. Medicare Baseline: 4.86x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Spotsylvania Regional Medical Center is $1,731. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,870. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.86x the Medicare baseline. Located in 4600 Spotsylvania Parkway, Fredericksburg, VA.

Cash / Self-Pay

$5,870

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,731

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: $5,870 (1647%)

Insurance Median: $1,731 (486%)

Cash: $5,870 (1647% of Medicare)

Ins. Median: $1,731 (486% 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 486% of the Medicare baseline (a markup of 386%). 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	$215 - $1,097	60%
United	$828 - $2,641	232%
Lifeworks	$1,115	313%
Cigna	$1,561 - $1,978	438%
Aetna	$1,819	510%
Virginia Health Network	$2,054 - $3,815	576%
Kaiser	$3,463	972%
Greenvbrier Sporting Club	$3,522	988%
Multiplan	$4,168	1169%
Corvel	$4,226	1186%
Occunet Workers Comp	$4,696	1318%
4Most Health Nework	$5,283	1482%
Three Rivers Provider Network	$5,283	1482%

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 $5,870.
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 Spotsylvania Regional Medical Center 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.