CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Camc Greenbrier Valley Medical Center, Inc

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $375
Cash Discount Price: $4,105
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Camc Greenbrier Valley Medical Center, Inc is $375. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,105. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.05x the Medicare baseline. Located in 1320 Maplewood Avenue, Ronceverte, WV.

Cash / Self-Pay

$4,105

Average discount available for prompt cash payment at this facility.

Insurance Median

$375

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: $4,105 (1152%)

Insurance Median: $375 (105%)

Cash: $4,105 (1152% of Medicare)

Ins. Median: $375 (105% 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
Blue Cross Blue Shield	$152 - $3,798	43%
Sentra Health	$152 - $821	43%
The Health Plan	$152 - $3,694	43%
Unicare	$152 - $159	43%
Aetna	$159 - $4,023	45%
Caresource	$159 - $3,284	45%
Clear Spring Health	$357	100%
Humana	$357 - $3,694	100%
UnitedHealthcare	$357 - $3,284	100%
Ally Align	$375	105%
Integrated Medical Solutions	$679	191%
Naphcare	$714	200%
Greenbrier Resort	$2,874	806%
Healthsmart	$2,874	806%
Multiplan	$3,243 - $3,571	910%
Fedmed	$3,694	1036%

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 $4,105.
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 Camc Greenbrier Valley Medical Center, 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.