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CT abdomen and pelvis with contrast

CPT 74177 · negotiated-rate distribution across hospitals in SC

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Hospitals
16
Min
$80
Median
$330.97
Max
$330.97
Range multiplier
4.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Medicaid180$206.04$206.04$375.181.8×
Blue Cross Blue Shield579$95$352.83$4,549.6147.9×
UnitedHealthcare555$45$252.74$828.2718.4×
Medicare153$218.64$297.34$544.462.5×
no fault [114001]142$384.6$506.05$506.051.3×
Molina436$147.16$344.29$567.843.9×
Aetna529$29.1$50$324.4811.2×
independent health [100165]128$323.45$435.88$901.342.8×
univera healthcare [100169]118$262.84$371.07$371.071.4×
Cigna518$25.2$287.67$431.1517.1×
Humana514$65$312.21$357.65.5×
absolute total care414$18$349.98$644.7535.8×
univera healthcare essential [100170]112$78.49$196.83$262.843.3×
independent health essential [100166]112$206.04$256.42$450.222.2×
fidelis essential [100163]112$147.16$286.18$327.082.2×
select health312$340.7$349.15$726.842.1×
WellCare110$312.21$312.21$327.071.0×
iha first choice [800001]18$323.45$412.4$669.692.1×
hospice [550001]16$214.35$297.34$297.341.4×
amerigroup [350102]16$206.04$206.04$206.041.0×
VA Health16$252.74$252.74$252.741.0×
federal workers compensation [500100]16$506.05$506.05$506.051.0×
beacon essential [350122]16$267.61$356.81$356.811.3×
TRICARE16$297.34$297.34$297.341.0×
clover insurance company36$337.46$337.46$337.461.0×
Multiplan44$85$90$901.1×
fidelis dual advantage [450120]14$312.21$312.21$312.211.0×
devoted health24$324.48$324.48$324.481.0×
ghi [100153]14$214.35$282.48$297.341.4×
medcost - sc33$50.44$56.53$58.511.2×
phcs33$90$90$901.0×
plotkin health33$60$60$601.0×
champ va [700002]12$297.34$297.34$297.341.0×
catholic health life pace [400005]12$297.34$297.34$297.341.0×
covid19 hrsa [45013]12$297.34$297.34$297.341.0×
seneca nation [450119]12$297.34$297.34$297.341.0×
fidelis exchange [100164]12$356.81$356.81$356.811.0×
tuscarora nation [550120]12$206.04$206.04$206.041.0×
beacon health options [100023]12$356.81$356.81$356.811.0×
mvp healthcare [100168]12$396.04$396.04$396.041.0×
excellus rochester mcd [350117]12$206.04$206.04$206.041.0×
upmc health plan [100181]12$535.21$535.21$535.211.0×
fallon health [450115]12$297.34$297.34$297.341.0×
medcost12$56.9$65.3$73.71.3×
vna option mltc [350110]12$206.04$206.04$206.041.0×
devoted health plan12$324.48$324.48$324.481.0×
crime victims [100176]12$206.04$206.04$206.041.0×
value option11$50$50$501.0×
healthsmart preferred care11$80$80$801.0×
evernorth11$80$80$801.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
COLLETON MEDICAL CENTERWALTERBOROSC24$9,650$9,650$18$80$3,056.08
EAST COOPER REGIONAL MEDICAL CENTERMT. PLEASANTSC14$873.07$36.9$330.97$2,998.77
COASTAL CAROLINA MEDICAL CENTERHARDEEVILLESC14$873.07$25.2$330.97$4,033.71
HILTON HEAD HOSPITALHILTON HEAD ISLANDSC14$873.07$32.2$330.97$4,549.61
MARY BLACK MEMORIAL HOSPITALSPARTANBURGSC37$885$531.35$66.72$297.34$901.34
ROPER ST. FRANCIS MT PLEASANT HOSPITMT. PLEASANTSC0$4,901$3,185.65
MCLEOD LORIS SEACOAST HOSPITALLORISSC0$6,811$4,835.81
MCLEOD HEALTH CHERAWCHERAWSC0$6,811$4,835.81
MCLEOD HEALTH CLARENDONMANNINGSC0$6,811$4,835.81
ROPER ST. FRANCIS HOSPITAL-BERKELEYSUMMERVILLESC0$4,901$3,185.65
MCLEOD MEDICAL CENTER - DILLONDILLONSC0$6,811$4,835.81
EDGEFIELD COUNTY HEALTHCAREEDGEFIELDSC0$4,449.9$2,669.94
MCLEOD REGIONAL MEDICAL CENTERFLORENCESC0$6,811$4,835.81
BON SECOURS ST. FRANCIS XAVIER HOSPICHARLESTONSC0$4,901$3,185.65
SELF REGIONAL HEALTHCAREGREENWOODSC0$4,449.9$2,669.94
ROPER HOSPITAL INC.CHARLESTONSC0$4,901$3,185.65

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.