CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Norton Clark Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $385
  • Cash Discount Price: $785
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Norton Clark Hospital is $385. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $785. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.08x the Medicare baseline. Located in 1220 Missouri Ave, Jeffersonville, IN.
Cash / Self-Pay
$785

Average discount available for prompt cash payment at this facility.

Insurance Median
$385

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: $785 (220%)
Insurance Median: $385 (108%)
Cash: $785 (220% of Medicare)
Ins. Median: $385 (108% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Blue Cross Blue Shield $162 - $2,584 45%
Caresource Indiana Healthy Indiana Plan (Hip) $162 45%
Humana $162 45%
Managed Health Services (Mhs) Hoosier Care Connect $162 45%
Managed Health Services (Mhs) Hoosier Healthwise (Hhw) $162 45%
Caresource Indiana Hoosier Healthwise (Hhw) $167 47%
UnitedHealthcare $167 - $457 47%
Mdwise Hoosier Healthwise (Hhw) $170 48%
Molina Healthcare Of Indiana $172 - $385 48%
Managed Health Services (Mhs) Healthy Indiana Plan (Hip) $374 105%
Mdwise Health Indiana Plan (Hip) $374 105%
Aetna $385 - $2,653 108%
Communicare Advantage $385 108%
Managed Health Services (Mhs) $393 - $542 110%
Cigna $2,285 641%
Ppom $4,907 1377%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1220 Missouri Ave, Jeffersonville, IN 47130
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals