CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Sarah D Culbertson Memorial Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $746
Cash Discount Price: $2,538
vs. Medicare Baseline: 3.06x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Sarah D Culbertson Memorial Hospital is $746. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,538. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.06x the Medicare baseline. Located in 238 South Congress Street, Rushville, IL.

Cash / Self-Pay

$2,538

Average discount available for prompt cash payment at this facility.

Insurance Median

$746

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: $2,538 (1041%)

Insurance Median: $746 (306%)

Cash: $2,538 (1041% of Medicare)

Ins. Median: $746 (306% 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 306% of the Medicare baseline (a markup of 206%). 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	$80 - $4,329	33%
Blue Cross Blue Shield	$80 - $4,714	33%
Molina Mmai-All Other Plans	$80 - $2,068	33%
UnitedHealthcare	$80 - $4,329	33%
Cigna	$96 - $3,555	39%
Meridian Hp Mcaid-All Plans	$141 - $993	58%
Molina Healthcare Mcaid	$141 - $993	58%
Multiplan/Phcs-All Plans	$239 - $4,329	98%
Humana	$356 - $2,068	146%
Healthlink-All Plans	$500	205%
Health Dynamics-All Plans	$663 - $4,329	272%
Beech Street-All Plans	$746 - $4,329	306%
Encompass-All Plans	$746 - $4,329	306%
Hfn Epo	$746 - $4,329	306%
Hfn Ppo Ip/Op Only-All Other Plans	$746 - $4,329	306%
Preferred Medical Claims Solution-All Plans	$746 - $4,329	306%
Three Rivers Provider Network-All Plans	$746 - $4,329	306%
Wexford Ip/Op Only-All Plans	$746 - $4,329	306%
Healthsmart-All Plans	$788 - $4,570	323%
Corvel-All Plans	$993	407%

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 $2,538.
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 Sarah D Culbertson Memorial Hospital 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.