CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Memorial Hospital and Health Care Center

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$276
about 0.8× the $356 Medicare rate · typically $269–$334
modeled estimate · not a bill or quote
What this hospital charges insurers
$277
About the fair price
about $1 over the fair price · 0.8× Medicare
Medicare pays $356 Fair price $276 This hospital $277 Cash price $112 Hospital's list price $320

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 $277

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 (with contrast) is about $276 (about 0.8× the $356 Medicare rate). Memorial Hospital and Health Care Center charges insurers about $277, or about $112 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 $89 - $1,122 25%
Blue Cross Blue Shieldmajor $67 - $601 19%
Aetnamajor $80 - $527 22%
Cignamajor $149 - $527 42%
Humanamajor $80 - $374 22%
Ambetter (Centene) $104 - $486 29%
CareSource $80 - $468 22%
+ 11 smaller / regional plans $80 - $898
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 800 W 9Th St, Jasper, IN 47546
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals