CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Northwest Health - Porter

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $913
  • Cash Discount Price: $3,850
  • vs. Medicare Baseline: 2.56x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Northwest Health - Porter is $913. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,850. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.56x the Medicare baseline. Located in 85 East Us Hwy 6, Valparaiso, IN.
Cash / Self-Pay
$3,850

Average discount available for prompt cash payment at this facility.

Insurance Median
$913

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: $3,850 (1080%)
Insurance Median: $913 (256%)
Cash: $3,850 (1080% of Medicare)
Ins. Median: $913 (256% 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 256% of the Medicare baseline (a markup of 156%). 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
UnitedHealthcare $327 - $1,295 92%
Veterans Eval Services $329 92%
One Call $350 98%
Tricare $351 98%
Aetna $363 - $6,196 102%
Blue Cross Blue Shield $363 - $1,504 102%
Humana $363 - $632 102%
Medicare (plans) $363 - $388 102%
Node Mhs Mcr Adv $363 102%
Healthy Indiana Plan $369 104%
Node Hospice Non Par Agree $369 104%
Node Va $369 104%
Node Devoted Health Mcr Adv $370 104%
Care Improvement Plus $381 107%
In Dept Of Correction $384 108%
Node Us Dept Of Labor $461 129%
Align Network $591 166%
One Call Work Comp $591 166%
Caresource $632 177%
Managed Health Services $632 - $738 177%
Medicaid / KanCare $632 177%
Mhs $632 177%
Encore Health $664 - $9,777 186%
Prime Health $664 - $9,166 186%
Indiana Work Comp $738 207%
Lutheran Preferred $738 - $7,333 207%
Encore Ppo $788 221%
Node Encore Kba Epo $886 249%
Porter County $886 249%
Preferred Network Access $886 249%
Magnacare Ma $940 264%
First Health Coventry $1,338 375%
Lutheran Preferred Chs Employees $2,933 823%
Self Pay $3,300 - $4,400 926%
Cigna $3,397 953%
Physicians Health Plan $4,683 1314%
Php Freedom $5,048 1416%
Sagamore Health Network $5,402 - $7,235 1516%
Southeastem Indiana Health Operations $8,555 - $9,166 2400%
Network Synergy Group $9,166 2572%
Multiplan/Phcs $10,266 2880%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 85 East Us Hwy 6, Valparaiso, IN 46383
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals