CT scan, abdomen and pelvis (no contrast)
Facility: Johnson Memorial Hospital
Billing Code: 74176 (CPT)
- CPT Billing Code: 74176
- Insurance Median: $537
- Cash Discount Price: $719
- vs. Medicare Baseline: 2.20x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 220% of the Medicare baseline (a markup of 120%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Connecticut Dept of Correction | $264 | 108% |
| Aetna | $278 - $348 | 114% |
| UnitedHealthcare | $280 - $1,308 | 115% |
| Medicare (plans) | $280 - $295 | 115% |
| Blue Cross Blue Shield | $280 - $537 | 115% |
| Cca Senior Care Options | $286 | 117% |
| Cigna | $289 - $1,020 | 119% |
| 1199 National Benefit Fund | $348 | 143% |
| Nippon Life Ins | $348 | 143% |
| Hap | $348 | 143% |
| Meritain | $348 | 143% |
| Allied Benefit Systems | $348 | 143% |
| Luminare Health | $348 | 143% |
| Webtpa | $348 | 143% |
| Gravie Admin Services | $348 | 143% |
| Fallon Health | $372 | 153% |
| Geha | $373 | 153% |
| Harvard Pilgrim Healthcare | $373 | 153% |
| Allegiance | $391 | 160% |
| Magnacare | $391 | 160% |
| Health Partners | $391 | 160% |
| Blue Shield - Ny Highmark Northeastern | $537 | 220% |
| Blue Distinction Transplant | $537 | 220% |
| Blue Shield - PA (Highmark) | $537 | 220% |
| Unicare | $537 | 220% |
| Blue Shield - Ny Highmark Western | $537 | 220% |
| Health Choices | $537 | 220% |
| Wellpoint | $537 | 220% |
| Blue Shield - Id (Regence) | $537 | 220% |
| Pre-Employment | $537 | 220% |
| Bcn Domestic | $537 | 220% |
| Blue Benefit Administrators of Massachusetts | $537 | 220% |
| Blue Shield - Wa (Regence) | $537 | 220% |
| Blue Shield - Ca | $537 | 220% |
| Kaiser Domestic | $537 | 220% |
| Wc Domestic | $537 | 220% |
| Blue Care Network | $537 | 220% |
| Innovative Health Plan II | $601 | 247% |
| Diversified Administrators | $601 | 247% |
| Claimdoc | $601 | 247% |
| Centivo | $666 | 273% |
| Connecticare | $666 - $833 | 273% |
| Health New England | $850 | 349% |
| Prime Health Services | $1,046 | 429% |
| Medi Share | $1,086 | 446% |
| Pai | $1,086 | 446% |
| Asrm - Reliance Standard Life Insurance | $1,086 | 446% |
| Christian Care Ministry | $1,086 | 446% |
| Paramount HMO | $1,086 | 446% |
| Lifetime Benefit Solutions | $1,086 | 446% |
| Mvp | $1,086 | 446% |
| PHCS | $1,086 | 446% |
| Pan-American Life | $1,086 | 446% |
| Family Life Insurance Company | $1,086 | 446% |
| International Benefit Administrators | $1,086 | 446% |
| Ghc Scw | $1,086 | 446% |
| Multiplan | $1,086 | 446% |
| Dean Health | $1,086 | 446% |
| Trinity Health Share | $1,086 | 446% |
| Allied National Global Care | $1,086 | 446% |
| Manhattan Life | $1,086 | 446% |
| Health Smart | $1,112 | 456% |
| United Behavioral Health Eap | $1,308 | 537% |