CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Charleston Area Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $5,950
Cash Discount Price: $7,116
vs. Medicare Baseline: 16.69x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Charleston Area Medical Center is $5,950. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,116. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 16.69x the Medicare baseline. Located in 501 Morris Street, Charleston, WV.

Cash / Self-Pay

$7,116

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,950

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: $7,116 (1996%)

Insurance Median: $5,950 (1669%)

Cash: $7,116 (1996% of Medicare)

Ins. Median: $5,950 (1669% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1669% of the Medicare baseline (a markup of 1569%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$159 - $7,568	45%
The Health Plan Of West Virginia Inc.	$159 - $7,490	45%
Unicare Health Plan Of West Virginia Inc.	$159	45%
Triwest Va	$346	97%
Blue Cross Blue Shield	$356 - $7,042	100%
Choicecare Network	$356 - $7,568	100%
Optimum Choice Inc.	$356	100%
UnitedHealthcare	$367 - $7,568	103%
West Virginia Senior Advantage Inc.	$374	105%
Integrated Medical Solutions	$695	195%
Naphcare	$713	200%
Caresource	$891	250%
Tricare	$3,680 - $4,633	1032%
City Of Charleston	$4,600 - $5,792	1291%
Cigna	$5,705 - $7,181	1601%
Three Rivers Providers Network	$5,950 - $7,490	1669%
Healthsmart	$6,011 - $7,568	1686%
Multiplan	$6,011 - $7,568	1686%

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 $7,116.
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 Charleston Area Medical Center 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.