CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Childrens Hospital of the Kings Daughters Inc

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $4,286
Cash Discount Price: $5,096
vs. Medicare Baseline: 17.58x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Childrens Hospital of the Kings Daughters Inc is $4,286. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,096. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 17.58x the Medicare baseline. Located in 601 Children's Lane, Norfolk, VA.

Cash / Self-Pay

$5,096

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,286

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $5,096 (2090%)

Insurance Median: $4,286 (1758%)

Cash: $5,096 (2090% of Medicare)

Ins. Median: $4,286 (1758% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 1758% of the Medicare baseline (a markup of 1658%). 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	$479 - $820	196%
UnitedHealthcare	$482 - $4,654	198%
Sentara Community Plan	$564	231%
Aetna	$591 - $4,654	242%
Humana	$591	242%
Amerihealth Caritas	$1,302	534%
Healthy Blue	$1,302	534%
Carolina Complete Health	$1,328	545%
Wellcare	$1,341	550%
Sentara Health Plans	$2,621	1075%
Cigna	$3,759	1542%
Virginia Health Network	$3,963 - $4,530	1626%
Medcost	$4,813 - $5,209	1974%
First Health	$5,096	2090%
Multiplan	$5,209	2137%
Phcs	$5,209 - $5,379	2137%
Vhn	$5,209 - $5,379	2137%
Johns Hopkins Healthcare	$5,379	2207%

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 $5,096.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Childrens Hospital of the Kings Daughters Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.