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CT abdomen and pelvis with contrast

CPT 74177 · negotiated-rate distribution across hospitals in WV

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Hospitals
20
Min
$307.95
Median
$444.45
Max
$1,493.67
Range multiplier
4.9×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare310$307.95$1,323.70$6,057.7219.7×
Blue Cross Blue Shield310$431.99$1,694.52$5,337.5712.4×
Aetna39$81.59$444.45$6,747.8482.7×
the health plan24$64.86$861.88$1,429.9622.0×
Cigna14$418.11$423.28$3,216.157.7×
institution [10406]13$418.11$423.28$423.281.0×
commonwealth care alliance [10103]13$439.01$444.45$444.451.0×
fallon mcr [10105]13$439.01$444.45$444.451.0×
fallon mcr supp [20202]13$439.01$444.45$444.451.0×
mgb mcr [10124]13$418.11$423.28$423.281.0×
tufts connectorcare [10507]13$711.20$720.00$720.001.0×
tufts mcr [10112]13$439.01$444.45$444.451.0×
WellCare22$307.95$868.96$1,429.964.6×
hsno/free care [10801]12$680.81$680.81$680.811.0×
Humana22$307.95$868.96$1,429.964.6×
wellpoint [11112]12$953.30$953.30$953.301.0×
optum ccn region 122$307.95$868.96$1,429.964.6×
optum ccn region 222$307.95$868.96$1,429.964.6×
senior whole health [10110]12$452.91$452.91$452.911.0×
CHAMPVA12$424.11$424.11$424.111.0×
the health plan hmo22$5,946.36$6,193.74$6,441.121.1×
tufts us family [11203]12$423.28$423.28$423.281.0×
umr22$5,592.41$5,825.07$6,057.721.1×
Anthem BCBS22$307.95$868.96$1,429.964.6×
First Health11$3,124.50$3,124.50$3,124.501.0×
grants [20507]11$4,166.00$4,166.00$4,166.001.0×
hne [11108]11$2,711.23$2,711.23$2,711.231.0×
hp optum bh [32]11$4,166.00$4,166.00$4,166.001.0×
evernorth behavioral health [27]11$3,332.80$3,332.80$3,332.801.0×
fallon carelon hlth [28]11$4,166.00$4,166.00$4,166.001.0×
connecticare [11105]11$4,166.00$4,166.00$4,166.001.0×
masshealth mcd mbhp [38]11$4,166.00$4,166.00$4,166.001.0×
Medicaid11$2,166.32$2,166.32$2,166.321.0×
wellsense mcaid carelon hlth [21]11$4,166.00$4,166.00$4,166.001.0×
workers compensation [20501]11$2,032.17$2,032.17$2,032.171.0×
fallon mcaid carelon hlth [29]11$4,166.00$4,166.00$4,166.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Webster County Memorial HospitalWebster SpringsWV28$4,791.35$4,791.35$418.11$444.45$4,166.00
Beckley ArhBeckleyWV11$7,668.00$4,600.80$64.86$307.95$6,747.84
Summers County ArhHintonWV11$7,079.00$4,247.40$1,415.80$1,493.67$6,229.52
Reynolds Memorial HospitalGlen DaleWV0$4,087.00$2,043.50
Jackson General HospitalRipleyWV0$3,944.00$1,972.00
Princeton Community HospitalPrincetonWV0$4,141.00$2,070.50
Wheeling HospitalWheelingWV0$3,489.00$1,744.50
Camden-Clark Memorial HospitalParkersburgWV0$3,757.00$1,878.50
Wetzel County HospitalNew MartinsvilleWV0$4,044.00$2,022.00
Summersville Regional Med CenterSummersvilleWV0$2,408.00$1,204.00
Braxton County Memorial HospitalGassawayWV0$2,633.00$1,316.50
Potomac Valley HospitalKeyserWV0$2,821.00$1,410.50
Grant Memorial HospitalPetersburgWV0$2,540.00$2,032.00
Jefferson Memorial HospitalRansonWV0$3,474.00$1,737.00
Jackson General HospitalRipleyWV0$3,944.00$1,972.00
St. Josephs Hospital Of BuckhannonBuckhannonWV0$2,884.00$1,442.00
West Virginia University HospitalsMorgantownWV0$3,039.00$1,519.50
Summersville Regional Med CenterSummersvilleWV0$2,408.00$1,204.00
United Hospital CenterBridgeportWV0$2,556.00$1,278.00
City Hospital Inc.MartinsburgWV0$4,324.00$2,162.00

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.