CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Methodist Hospitals Inc

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $731
Cash Discount Price: $7,288
vs. Medicare Baseline: 2.05x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Methodist Hospitals Inc is $731. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,288. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.05x the Medicare baseline. Located in 600 Grant St, Gary, IN.

Cash / Self-Pay

$7,288

Average discount available for prompt cash payment at this facility.

Insurance Median

$731

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: $7,288 (2045%)

Insurance Median: $731 (205%)

Cash: $7,288 (2045% of Medicare)

Ins. Median: $731 (205% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 205% of the Medicare baseline (a markup of 105%). 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	$367 - $7,705	103%
Blue Cross Blue Shield	$367 - $10,744	103%
Humana	$367 - $632	103%
Medicare (plans)	$367	103%
United Heathcare	$367	103%
Zing	$375	105%
UnitedHealthcare	$532 - $632	149%
Caresource Maketplace	$606	170%
Caresource	$632	177%
Managed Health Services	$632	177%
Medicaid / KanCare	$632	177%
Ambetter / Centene	$735	206%
Physicians Health Plan Of Northern Indiana	$1,102	309%
Magnacare	$1,745	490%
Cigna	$3,998 - $4,342	1122%
Encore	$6,247 - $9,267	1753%
Phcs	$7,080	1986%
Siho	$7,288	2045%
Sagamore	$7,497	2103%
Multiplan	$7,601	2133%
Hfn	$8,121 - $8,850	2278%

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 $7,288.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Methodist Hospitals Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.