CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Uva Health Haymarket Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,256
Cash Discount Price: $1,680
vs. Medicare Baseline: 3.52x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Uva Health Haymarket Medical Center is $1,256. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,680. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.52x the Medicare baseline. Located in 15225 Healthcote Boulevard, Haymarket, VA.

Cash / Self-Pay

$1,680

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,256

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: $1,680 (471%)

Insurance Median: $1,256 (352%)

Cash: $1,680 (471% of Medicare)

Ins. Median: $1,256 (352% 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 352% of the Medicare baseline (a markup of 252%). 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
Champva [50002]	$230	65%
Tricare	$230	65%
Blue Cross Blue Shield	$361 - $1,116	101%
Cigna	$361 - $2,688	101%
Medicare (plans)	$361	101%
UnitedHealthcare	$361 - $2,062	101%
VA Ccn [99926]	$361	101%
VA Ccn [99927]	$361	101%
Veterans Administration [99910]	$361	101%
Aetna	$365 - $2,015	102%
Humana	$368	103%
Geha [40009]	$1,660	466%
Carefirst [30007]	$2,407 - $2,932	675%
Multiplan Generic [40035]	$2,554	717%
Vhn Generic [40040]	$2,554	717%
Sentara Behavioral Health [40052]	$2,611	733%
Sentara [40021]	$2,611	733%
Kaiser Permenente [40014]	$3,024	848%

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 $1,680.
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 Uva Health Haymarket 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.