CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Goshen Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $217
  • Cash Discount Price: $2,303
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Goshen Hospital is $217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,303. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.89x the Medicare baseline. Located in 200 High Park Ave, Goshen, IN.
Cash / Self-Pay
$2,303

Average discount available for prompt cash payment at this facility.

Insurance Median
$217

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: $2,303 (945%)
Insurance Median: $217 (89%)
Cash: $2,303 (945% of Medicare)
Ins. Median: $217 (89% 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.

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
Advantage Health Solutions $217 89%
Aetna $217 89%
Atrio Health Plans $217 89%
Bc Federal Employee $217 89%
Bc Mcr Advantage Ppo $217 89%
Blue Cross Blue Shield $217 - $790 89%
Buckeye Health Plan $217 89%
Cigna $217 89%
Coventry Health And Life $217 89%
Emblem Health $217 89%
Freedom Healthcare $217 89%
Geisinger Health Plan $217 89%
Health First $217 89%
Healthspring $217 89%
Humana $217 89%
Iehp Empire Health Plan $217 89%
Independent Care Health Plan $217 89%
Kaiser Permanente $217 89%
Mcr Advantra Freedom $217 89%
Mcr Allwell Mhs $217 89%
Mcr Banner Health $217 89%
Mcr Complete $217 89%
Mcr Complete Ppo $217 89%
Mcr Complete Wellmed $217 89%
Mcr Health Alliance $217 89%
Mcr Health Partners Plans $217 89%
Mcr Medical Mutual Of Ohio $217 89%
Mcr Passport Advantage $217 89%
Mcr Secure Horizons Ppo $217 89%
Mcr Texan Plus $217 89%
Mcr Upmc For Life $217 89%
Medicare (plans) $217 - $230 89%
Meridian Complete $217 89%
Optimum Healthcare $217 89%
Paramount Elite $217 89%
Primetime Health Plan $217 89%
Simply Complete Hmo $217 89%
The Umwa H&R Funds $217 89%
Todays Options Pyramid Life $217 89%
Trillium Advantage $217 89%
Ucare For Seniors $217 89%
Ucare Minnesota $217 89%
UnitedHealthcare $217 - $1,001 89%
Wellcare $217 89%
Champva $223 91%
Tricare $223 91%
Mcr Devoted Health Plan $230 94%
Mcr Provider Partners Hlth Pln $245 101%
Ambetter / Centene $312 128%
Mkt Caresource $312 128%
Bc Allied $790 324%
All Savers $1,001 411%
Golden Rule Insurance 2Nd $1,001 411%
Oxford Health $1,001 411%
Uhclic $1,001 411%
Uhss $1,001 411%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 High Park Ave, Goshen, IN 46526
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals