CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $287
  • Cash Discount Price: $6,220
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Univ. of Vermont - Fletcher Allen Health Care is $287. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,220. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.18x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.
Cash / Self-Pay
$6,220

Average discount available for prompt cash payment at this facility.

Insurance Median
$287

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: $6,220 (2552%)
Insurance Median: $287 (118%)
Cash: $6,220 (2552% of Medicare)
Ins. Median: $287 (118% 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.

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
UnitedHealthcare $54 - $6,123 22%
Blue Cross Blue Shield $63 - $6,023 26%
Mvp $66 - $4,039 27%
Aetna $78 - $244 32%
Capital District Physicians' Health Plan $78 - $4,659 32%
Humana $78 - $1,742 32%
Martins Point $78 - $250 32%
St. Regis $78 - $244 32%
Veterans Affairs Community Care Network $78 - $244 32%
Fidelis Care $90 - $268 37%
Wellpath $109 - $3,421 45%
Ebpa $287 - $5,349 118%
Harvard Pilgrim $298 - $4,976 122%
Magnacare $298 - $4,976 122%
Coventry $317 - $5,287 130%
Nppn $336 - $5,598 138%
Cigna $347 - $5,598 142%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 111 Colchester Ave, Burlington, VT 05401
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals