CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Pocahontas Memorial Hospital

Billing Code: 74176 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$631

about 2.6× the $244 Medicare rate · typically $153–$1,666

modeled estimate · not a bill or quote

Medicare pays $244 Fair price $631 Cash price $1,803 Hospital's list price $2,575

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$2,008 - $2,400	824%
Blue Cross Blue Shieldmajor	$1,802 - $2,235	739%
Aetnamajor	$1,802 - $1,854	739%
Humanamajor	$1,762 - $2,524	723%
UniCare	$1,802	739%
+ 1 smaller / regional plan	$2,375

Government programs also on file: Medicare, Medicaid.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,803), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74176.

Insurance Before you use insurance

Call your insurance company to confirm Pocahontas Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 74176.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Pocahontas Memorial Hospital

Compare: CT scan, abdomen and pelvis (no contrast) at other WV hospitals

Insurance negotiated median for the same procedure, sorted lowest first.