CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Lutheran Hospital of Indiana

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,576
  • Cash Discount Price: $1,847
  • vs. Medicare Baseline: 4.42x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Lutheran Hospital of Indiana is $1,576. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,847. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.42x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$1,847

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,576

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: $1,847 (518%)
Insurance Median: $1,576 (442%)
Cash: $1,847 (518% of Medicare)
Ins. Median: $1,576 (442% 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 442% of the Medicare baseline (a markup of 342%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Ky Work Comp $90 - $2,292 25%
Amish Aid $107 - $2,728 30%
Lutheran Preferred Network $107 - $5,457 30%
Self Pay $107 - $3,274 30%
Cigna $115 - $3,301 32%
Blue Cross Blue Shield $132 - $3,374 37%
Physicians Health Plan Of Northern Indiana $141 - $3,591 40%
Aetna $143 - $4,329 40%
Sagamore $163 - $4,920 46%
Multiplan $260 - $7,549 73%
Prime Health Services $267 - $6,821 75%
Spreemo $280 79%
Encore Health Network $292 - $8,186 82%
Advantage Health Solutions $296 - $7,549 83%
Allied Benefit Systems $321 - $8,186 90%
Evolutions $321 - $8,186 90%
UnitedHealthcare $327 - $1,529 92%
Veterans Eval Services $329 92%
One Call Care Diagnostics $350 98%
Tricare $351 98%
Php Freedom Network $356 - $924 100%
Humana $363 - $632 102%
Iu Health Plan $363 102%
Managed Health Services $363 - $738 102%
Medicare (plans) $363 102%
Department Of Veterans Affairs $369 104%
Node Hospice Non Par Agree $369 104%
Node Va $369 104%
Node Devoted Health Mcr Adv $370 104%
In Dept Of Correction $384 108%
Node Pphp Mcr Adv $388 109%
Us Department Of Labor $461 129%
Lutheran Advanced Network $554 155%
Node Lutheran Network $554 - $646 155%
Node Lutheran Preferred Fixed 2 $554 155%
Align Network $591 166%
Care Source $632 177%
Medicaid / KanCare $632 177%
Encore Work Comp In $664 186%
Lutheran Network $738 - $2,115 207%
Encore Ppo $816 229%
Node Encore Kba Epo $886 249%
Node Encore Kba Ppo $1,107 311%
Lutheran Preferred $2,009 564%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals