CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: The Outer Banks Hospital, Inc

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $5,189
Cash Discount Price: $4,512
vs. Medicare Baseline: 21.29x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at The Outer Banks Hospital, Inc is $5,189. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,512. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 21.29x the Medicare baseline. Located in 4800 South Croatan Highway, Nags Head, NC.

Cash / Self-Pay

$4,512

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,189

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $4,512 (1851%)

Insurance Median: $5,189 (2129%)

Cash: $4,512 (1851% of Medicare)

Ins. Median: $5,189 (2129% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 2129% of the Medicare baseline (a markup of 2029%). 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
Blue Cross Blue Shield	$2,498 - $4,940	1025%
Carolina Complete Health [1317]	$2,628	1078%
Wellcare [1320]	$2,641	1083%
Amerihealth McAid Adv [1316]	$2,654	1089%
Liberty Advantage [1313]	$2,965	1216%
UnitedHealthcare	$3,038 - $4,730	1246%
Humana	$3,062	1256%
Aetna	$3,131 - $6,309	1284%
Longevity Health [1411]	$3,666	1504%
Nc Dept of Public Safety [1095]	$5,077	2083%
Medcost [1067]	$5,189 - $5,431	2129%
Cigna	$6,849 - $7,655	2810%
Multiplan [1031]	$7,655	3140%

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 $4,512.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm The Outer Banks Hospital, Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.