CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Rush Memorial Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $580
Cash Discount Price: $544
vs. Medicare Baseline: 2.38x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Rush Memorial Hospital is $580. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $544. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.38x the Medicare baseline. Located in 1300 N Main St, Rushville, IN.

Cash / Self-Pay

$544

Average discount available for prompt cash payment at this facility.

Insurance Median

$580

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: $544 (223%)

Insurance Median: $580 (238%)

Cash: $544 (223% of Medicare)

Ins. Median: $580 (238% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 238% of the Medicare baseline (a markup of 138%). 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
UnitedHealthcare	$67 - $2,569	27%
Humana	$76 - $2,954	31%
Caresource Mcr Adv	$77 - $996	32%
Aetna	$78 - $2,954	32%
Blue Cross Blue Shield	$79 - $2,345	32%
Today'S Option Mcr Adv-All Plans	$79 - $1,025	32%
Viant Beech St Mcr Adv	$79 - $1,025	32%
My True Advantage - All Plans	$81 - $996	33%
Consumers Life Ins-All Plans	$84 - $2,890	34%
Caresource Marketplace-All Other Plans	$104 - $1,593	43%
Multiplan-All Plans	$107 - $2,987	44%
Encore Health Services-All Plans	$134 - $3,147	55%
Siho-All Plans	$134 - $2,954	55%
Health Net	$156 - $946	64%
Phcs-All Plans	$168 - $2,569	69%
Cigna	$318 - $1,519	130%
Coventry/First Health-All Plans	$445 - $2,890	183%
Sagamore-All Plans	$486 - $2,954	199%
Community Health Alliance-All Plans	$497 - $3,019	204%

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 $544.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Rush Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.