CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Brattleboro Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $606
  • Cash Discount Price: $4,114
  • vs. Medicare Baseline: 1.70x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Brattleboro Memorial Hospital is $606. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,114. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.70x the Medicare baseline. Located in 17 Belmont Ave, Brattleboro, VT.
Cash / Self-Pay
$4,114

Average discount available for prompt cash payment at this facility.

Insurance Median
$606

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: $4,114 (1154%)
Insurance Median: $606 (170%)
Cash: $4,114 (1154% of Medicare)
Ins. Median: $606 (170% 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
Amerihealth-Caritas $72 - $276 20%
New Hampshire Healthy Families $72 - $276 20%
Wellsense $72 - $367 20%
Blue Cross Blue Shield $82 - $5,311 23%
Cigna $82 - $5,606 23%
Harvard Pilgrim Health Care $82 - $5,134 23%
Martin'S Point $82 - $343 23%
Mvp Healthcare $82 - $5,311 23%
New Hampshire Healthy Families (Wellcare) $86 - $360 24%
Tufts Health Plan $214 - $5,398 60%
UnitedHealthcare $240 - $5,606 67%
Vermont Health Plan $286 - $5,282 80%
Humana $343 96%
Multiplan $377 - $5,724 106%
Aetna $5,679 - $5,724 1593%
Coventry $5,679 - $5,724 1593%
Health New England $5,679 - $5,724 1593%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 17 Belmont Ave, Brattleboro, VT 05301
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals