CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Wabash General Hospital 1

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $3,548
Cash Discount Price: $4,731
vs. Medicare Baseline: 14.55x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Wabash General Hospital 1 is $3,548. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,731. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 14.55x the Medicare baseline. Located in 1418 College Drive, Mount Carmel, IL.

Cash / Self-Pay

$4,731

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,548

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: $4,731 (1941%)

Insurance Median: $3,548 (1455%)

Cash: $4,731 (1941% of Medicare)

Ins. Median: $3,548 (1455% 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 1455% of the Medicare baseline (a markup of 1355%). 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
Aetna	$734 - $4,021	301%
Blue Cross Blue Shield	$734 - $4,116	301%
Meridian Mcaid - All Plans	$734	301%
Molina Mcaid - All Plans	$734	301%
UnitedHealthcare	$1,467 - $3,785	602%
Health Alliance Mcr Adv - All Plans	$1,496	614%
Healthlink Hmo	$3,312	1359%
Cigna	$3,548	1455%
Encore Combined Ip/Op Only	$3,548	1455%
Hope Trust - All Plans	$3,548	1455%
Healthlink Ppo - All Other Plans	$3,785	1553%
Phcs - All Plans	$3,785	1553%
Health Smart - All Plans	$4,021	1650%
Hfn - All Plans	$4,021	1650%
Multiplan - All Plans	$4,021	1650%
Siho Network - All Plans	$4,021	1650%
Encore Health Network Ip/Op Only - All Other Plans	$4,258	1747%

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 $4,731.
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 Wabash General Hospital 1 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.