CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Brattleboro Memorial Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $356
Cash Discount Price: $2,459
vs. Medicare Baseline: 1.46x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Brattleboro Memorial Hospital is $356. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,459. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.46x the Medicare baseline. Located in 17 Belmont Ave, Brattleboro, VT.

Cash / Self-Pay

$2,459

Average discount available for prompt cash payment at this facility.

Insurance Median

$356

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: $2,459 (1009%)

Insurance Median: $356 (146%)

Cash: $2,459 (1009% of Medicare)

Ins. Median: $356 (146% 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.

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
Amerihealth-Caritas	$68 - $187	28%
New Hampshire Healthy Families	$68 - $187	28%
Wellsense	$68 - $248	28%
Blue Cross Blue Shield	$78 - $3,173	32%
Cigna	$78 - $3,350	32%
Harvard Pilgrim Health Care	$78 - $3,068	32%
Martin'S Point	$78 - $232	32%
Mvp Healthcare	$78 - $3,173	32%
New Hampshire Healthy Families (Wellcare)	$82 - $243	34%
Vermont Health Plan	$143 - $3,156	59%
UnitedHealthcare	$162 - $3,350	66%
Tufts Health Plan	$205 - $3,225	84%
Humana	$232	95%
Multiplan	$255 - $3,420	105%
Aetna	$3,394 - $3,420	1392%
Coventry	$3,394 - $3,420	1392%
Health New England	$3,394 - $3,420	1392%

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 $2,459.
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 Brattleboro Memorial Hospital 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.