CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Goshen Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$601
about 1.7× the $356 Medicare rate · typically $341–$712
modeled estimate · not a bill or quote
What this hospital charges insurers
$420
Below the fair price — a good deal
about $181 under the fair price · 1.2× Medicare
Medicare pays $356 Fair price $601 This hospital $420 Cash price $2,797 Hospital's list price $3,996

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Highest price of the 9 IN hospitals we have prices for — worth calling around.

Cheapest $105 Priciest $420

Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $601 (about 1.7× the $356 Medicare rate). Goshen Hospital charges insurers about $420, or about $2,797 in cash — below the fair price — a good deal. Located in Goshen, IN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $420 - $1,001 118%
Blue Cross Blue Shieldmajor $420 - $1,168 118%
Aetnamajor $420 118%
Cignamajor $420 118%
Humanamajor $420 118%
Kaiser Permanentemajor $420 118%
Ambetter (Centene) $605 170%
Banner Health $420 118%
CareSource $605 170%
Cigna HealthSpring $420 118%
Devoted Health $445 125%
Geisinger $420 118%
HealthPartners $420 118%
Medical Mutual $420 118%
Meridian $420 118%
Paramount $420 118%
UCare $420 118%
UPMC Health Plan $420 118%
WellCare $420 118%
WellMed $420 118%
+ 27 smaller / regional plans $420 - $1,168
Government programs also on file: Medicare, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

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