CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Norton-King's Daughters' Health

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,837
Cash Discount Price: $674
vs. Medicare Baseline: 5.15x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Norton-King's Daughters' Health is $1,837. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $674. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.15x the Medicare baseline. Located in 1373 East Sr 62, Madison, IN.

Cash / Self-Pay

$674

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,837

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: $674 (189%)

Insurance Median: $1,837 (515%)

Cash: $674 (189% of Medicare)

Ins. Median: $1,837 (515% 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 515% of the Medicare baseline (a markup of 415%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$77 - $2,143	22%
Blue Cross Blue Shield	$162 - $811	45%
Managed Health Services Of Indiana	$162	45%
UnitedHealthcare	$162 - $2,404	45%
Humana	$185 - $374	52%
Managed Health Services Of Kentucky	$185	52%
Passport By Molina	$185	52%
Managed Health Services	$385 - $580	108%
Caresource Of Kentucky	$524	147%
Caresource Of Indiana	$561	157%
Custom Design Benefits	$748 - $1,531	210%
Cigna	$2,603	730%
Encore	$2,603	730%
Quality Care Partners	$2,725	765%
Bluegrass	$2,756	773%
First Health	$2,756	773%
Healthlink	$2,756	773%
Vha/Tristate	$2,756	773%
Multiplan/Phcs	$2,817	790%
Indiana Health Network	$2,909	816%
Siho	$2,909	816%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $674.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Norton-King's Daughters' Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.