CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Lee County Community Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $583
  • Cash Discount Price: $549
  • vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Lee County Community Hospital is $583. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $549. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.64x the Medicare baseline. Located in 127 Health Care Drive, Pennington Gap, VA.
Cash / Self-Pay
$549

Average discount available for prompt cash payment at this facility.

Insurance Median
$583

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: $549 (154%)
Insurance Median: $583 (164%)
Cash: $549 (154% of Medicare)
Ins. Median: $583 (164% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $237 - $2,388 66%
Cigna $427 - $2,388 120%
UnitedHealthcare $522 - $2,388 146%
Aetna $525 - $2,388 147%
Ambetter / Centene $525 147%
Amerigroup $525 - $2,388 147%
Managed Medicaire $525 147%
Medicare (plans) $525 147%
Mountain Empire Pace $525 147%
Sentara Health $525 - $616 147%
United Mine Workers Of America $525 147%
Humana $534 150%
Molina Healthcare $546 - $606 153%
Devoted Health Plan $552 155%
Nhc Advantage $552 155%
Optima Health $583 164%
Seven Corners, Inc. $1,261 354%
First Health Coventry $2,388 670%
Medcost $2,388 670%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 127 Health Care Drive, Pennington Gap, VA 24277
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals