CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Northwest Health - Starke

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $350
  • Cash Discount Price: $481
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Northwest Health - Starke is $350. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $481. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.44x the Medicare baseline. Located in 102 E Culver Rd, Knox, IN.
Cash / Self-Pay
$481

Average discount available for prompt cash payment at this facility.

Insurance Median
$350

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: $481 (197%)
Insurance Median: $350 (144%)
Cash: $481 (197% of Medicare)
Ins. Median: $350 (144% 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
Lutheran $63 - $833 26%
Self Pay $63 - $1,697 26%
Medpartners $78 - $1,034 32%
Physicians Health Plan $96 - $1,274 39%
Alpha Baking $105 - $1,388 43%
Php $141 - $1,857 58%
Encore $152 - $2,684 62%
UnitedHealthcare $164 - $2,184 67%
Multiplan Inc $187 - $2,777 77%
Aetna $191 - $2,669 78%
Cigna $194 - $2,561 80%
Coventry First Health $202 - $2,669 83%
Lutheran Network $206 - $2,715 85%
Sagamore Health Network $206 - $2,715 85%
Community Health Alliance $210 - $2,777 86%
Ppom $220 - $2,900 90%
Managed Health Services $234 - $541 96%
Tricare $240 98%
Node Champva $252 103%
Blue Cross Blue Shield $266 - $1,015 109%
Humana $266 - $350 109%
Medicare (plans) $266 109%
Caresource $270 - $350 111%
Node Hospice Non Par Agree $270 111%
Node Va $270 111%
Node Devoted Health Mcr Adv $271 111%
One Call $275 113%
In Dept Of Correction $281 115%
Node Pphp Mcr Adv $284 117%
Us Department Of Labor $338 139%
Medicaid / KanCare $350 144%
Mhs $350 144%
Indiana Workers Comp $541 222%
Encore Kba Epo $649 266%
Magnacare Ma $649 266%
Encore Kba Ppo $811 333%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 102 E Culver Rd, Knox, IN 46534
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals