CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Vandalia Health Broaddus Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,385
Cash Discount Price: $2,279
vs. Medicare Baseline: 6.69x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Vandalia Health Broaddus Hospital is $2,385. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,279. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.69x the Medicare baseline. Located in 1 Healthcare Drive Mansfield Hill, Philippi, WV.

Cash / Self-Pay

$2,279

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,385

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: $2,279 (639%)

Insurance Median: $2,385 (669%)

Cash: $2,279 (639% of Medicare)

Ins. Median: $2,385 (669% 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 669% of the Medicare baseline (a markup of 569%). 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
Correctional Medical Systems	$61 - $206	17%
Aetna	$64 - $2,910	18%
The Health Plan	$64 - $2,930	18%
Unicare	$64 - $216	18%
Blue Cross Blue Shield	$156 - $2,309	44%
Peak Health	$561 - $1,037	157%
Highmark	$2,385	669%
UnitedHealthcare	$2,409 - $3,161	676%
Humana	$2,505	703%
West Virginia Senior Advantage	$2,529	710%
Cigna	$2,848	799%
First Health	$2,910	816%
Geisenger Health Plan	$3,027	849%
Health Network America	$3,027 - $3,092	849%
Multiplan/Phcs	$3,060	859%
Geha	$3,092	867%
Selectnet	$3,190	895%

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 $2,279.
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 Vandalia Health Broaddus Hospital 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.