CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: Ohio Valley Surgical Hospital
Billing Code: 74177 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74177
- Insurance Median: $602
- Cash Discount Price: $2,324
- vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Ohio Valley Surgical Hospital is $602. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,324. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.69x the Medicare baseline. Located in 100 West Main Street, Springfield, OH.
Cash / Self-Pay
$2,324
Average discount available for prompt cash payment at this facility.
Insurance Median
$602
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$356.43
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $2,324 (652%)
Insurance Median: $602 (169%)
Cash: $2,324 (652% of Medicare)
Ins. Median: $602 (169% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $356.43 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.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Molina Dual McR | $340 | 95% |
| American Republic | $340 - $3,874 | 95% |
| Aetna | $340 - $66,572 | 95% |
| Wraparound Pl Supp | $340 - $3,874 | 95% |
| Everest | $340 - $3,874 | 95% |
| American Continental Insurance | $340 | 95% |
| Aarp | $340 - $3,874 | 95% |
| Mmoh | $340 - $2,441 | 95% |
| Bankers Fidelity | $340 - $3,874 | 95% |
| Prosperity Supplement | $340 - $3,874 | 95% |
| Molina Dual McR | $340 | 95% |
| Aarp Supplemental | $340 - $3,874 | 95% |
| Aultcare Primetime Health Plan | $340 - $3,874 | 95% |
| Molina | $340 - $1,937 | 95% |
| Medigold | $340 | 95% |
| Champus | $340 - $3,874 | 95% |
| Bankers Life and Casualty | $340 - $3,874 | 95% |
| Blue Cross Blue Shield | $340 - $3,816 | 95% |
| Central States | $340 - $3,874 | 95% |
| American Continental Life | $340 | 95% |
| Molina McR McD | $340 | 95% |
| Molina McR | $340 - $1,937 | 95% |
| Communicare Advantage | $340 - $3,874 | 95% |
| Cigna | $340 - $61,163 | 95% |
| Gateway Health Plan | $340 - $3,874 | 95% |
| Wellcare By Allwell | $340 - $3,874 | 95% |
| American Retirement | $340 - $3,874 | 95% |
| UnitedHealthcare | $340 - $56,998 | 95% |
| Humana | $340 - $37,972 | 95% |
| Molina Marketplace | $340 - $1,937 | 95% |
| Molina McR+McD | $340 | 95% |
| Medicare (plans) | $340 - $3,874 | 95% |
| Patient No Pay | $340 - $3,874 | 95% |
| The Health Plan | $357 | 100% |
| Pacific Source | $367 - $66,572 | 103% |
| Personify Health | $367 - $66,572 | 103% |
| Geha | $367 - $66,572 | 103% |
| Mhbp | $367 - $66,572 | 103% |
| Nippon Life | $367 - $66,572 | 103% |
| Genworth | $367 - $66,572 | 103% |
| Meritain | $367 - $66,572 | 103% |
| Mail Handlers | $367 - $66,572 | 103% |
| Ngs Coresource | $367 - $66,572 | 103% |
| Meritain Heatlh | $367 - $66,572 | 103% |
| Employer Direct | $391 - $39,525 | 110% |
| Devoted Health | $415 - $43,668 | 116% |
| Medicaid / KanCare | $511 | 143% |
| Caresource | $511 | 143% |
| Caresourse | $511 | 143% |
| Nalc | $575 - $61,163 | 161% |
| Unified Group | $575 - $61,163 | 161% |
| Samba | $575 - $61,163 | 161% |
| Sbma | $575 - $61,163 | 161% |
| Healthgram | $575 - $61,163 | 161% |
| Golden Rule | $602 | 169% |
| Oxford | $602 | 169% |
| Surest | $602 | 169% |
| Medica | $602 | 169% |
| Shl | $602 | 169% |
| Ushealth | $602 | 169% |
| Self Pay Imaging | $650 - $1,937 | 182% |
| Mmo Cin. HMO | $1,782 - $2,441 | 500% |
| Mmoh (Supermed) | $1,782 - $1,801 | 500% |
| Preferred Health | $3,487 | 978% |
| Luminare Health | $3,487 | 978% |
| Ohio Health | $3,487 | 978% |
| Medben | $3,487 | 978% |