CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Memorial Hospital and Health Care Center

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$173

about 0.7× the $244 Medicare rate · typically $162–$236

modeled estimate · not a bill or quote

What this hospital charges insurers

$173

About the fair price

0.7× Medicare

Medicare pays $244 Fair price $173 This hospital $173 Cash price $175 Hospital's list price $500

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 $83 Priciest $173

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

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $173 (about 0.7× the $244 Medicare rate). Memorial Hospital and Health Care Center charges insurers about $173, or about $175 in cash — about the fair price. Located in Jasper, IN.

What each insurance company pays

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

5 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	$85 - $760	35%
Blue Cross Blue Shieldmajor	$64 - $483	26%
Aetnamajor	$76 - $390	31%
Cignamajor	$173 - $390	71%
Humanamajor	$76 - $253	31%
Ambetter (Centene)	$99 - $329	41%
CareSource	$76 - $317	31%
+ 11 smaller / regional plans	$77 - $608

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 175), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74176.

Insurance Before you use insurance

Call your insurance company to confirm Memorial Hospital and Health Care Center is in-network.
Ask your insurer whether prior approval is required for CPT code 74176.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Memorial Hospital and Health Care Center

Compare: CT scan, abdomen and pelvis (no contrast) at other IN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.