CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Porter Hospital Inc

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $344
Cash Discount Price: $1,985
vs. Medicare Baseline: 0.97x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Porter Hospital Inc is $344. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,985. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.97x the Medicare baseline. Located in 115 Porter Drive, Middlebury, VT.

Cash / Self-Pay

$1,985

Average discount available for prompt cash payment at this facility.

Insurance Median

$344

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: $1,985 (557%)

Insurance Median: $344 (97%)

Cash: $1,985 (557% of Medicare)

Ins. Median: $344 (97% 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.

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
UnitedHealthcare	$57 - $3,484	16%
Mvp	$69 - $3,280	19%
Fidelis Care	$74 - $1,489	21%
Humana	$78 - $339	22%
Aetna	$82 - $1,654	23%
Capital District Physicians' Health Plan	$82 - $2,935	23%
Martins Point	$82 - $1,654	23%
Veterans Affairs Community Care Network	$82 - $1,654	23%
Veterans Choice	$82 - $1,654	23%
Blue Cross Blue Shield	$92 - $3,316	26%
Harvard Pilgrim	$96 - $2,815	27%
Coventry	$106 - $3,097	30%
Cigna	$118 - $3,201	33%
Wellpath	$248 - $1,935	70%
Medical Corporation	$428 - $3,343	120%
Multiplan	$428 - $3,343	120%

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 $1,985.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Porter Hospital Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.