CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Dupont Hospital LLC

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $2,283
  • Cash Discount Price: $1,961
  • vs. Medicare Baseline: 6.41x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Dupont Hospital LLC is $2,283. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,961. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.41x the Medicare baseline. Located in 2520 E Dupont Rd, Fort Wayne, IN.
Cash / Self-Pay
$1,961

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,283

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: $1,961 (550%)
Insurance Median: $2,283 (641%)
Cash: $1,961 (550% of Medicare)
Ins. Median: $2,283 (641% 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 641% of the Medicare baseline (a markup of 541%). 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 - $1,529 92%
Veterans Eval Services $329 92%
Tricare $351 98%
Aetna $363 - $3,436 102%
Blue Cross Blue Shield $363 - $1,517 102%
Humana $363 - $632 102%
Medicare (plans) $363 102%
Node Mhs Mcr Adv $363 102%
Department Of Veterans Affairs $369 104%
Iu Health $369 104%
Node Non Par Hospice Agree $369 104%
Node Va $369 104%
Node Devoted Health Mcr Adv $370 104%
In Dept Of Correction $384 108%
Node Pphp Mcr Adv $388 109%
Us Department Of Labor $461 129%
Lutheran Advanced Network $554 155%
Lutheran Preferred $554 - $4,612 155%
Lutheran Preferred Fixed 2 $554 155%
Managed Health Services $554 - $738 155%
Align In Work Comp $591 166%
Caresource $632 177%
Medicaid / KanCare $632 177%
Encore Work Comp In $664 186%
Prime Health Services $664 - $5,764 186%
Physicians Health Plan $674 - $2,976 189%
In Work Comp $738 207%
Encore Ppo $788 221%
Amish Aid $840 - $2,075 236%
Self Pay $840 - $3,459 236%
Encore Kba Epo $886 249%
Php Freedom Network $924 259%
Cigna $1,005 - $2,790 282%
Encore Kba Ppo $1,107 311%
Medical Mutual Of Oh $1,648 - $4,074 462%
Sagamore $1,673 - $4,281 469%
Lutheran Network $2,115 593%
Frontpath $2,488 - $6,149 698%
Encore Health Network $2,550 - $6,917 715%
Advantage Health Solutions $2,581 - $6,379 724%
Multiplan $2,675 - $6,917 750%
Allied Benefit Systems $2,799 - $6,917 785%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2520 E Dupont Rd, Fort Wayne, IN 46825
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals