CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Rush Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $948
Cash Discount Price: $1,066
vs. Medicare Baseline: 2.66x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Rush Memorial Hospital is $948. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,066. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.66x the Medicare baseline. Located in 1300 N Main St, Rushville, IN.

Cash / Self-Pay

$1,066

Average discount available for prompt cash payment at this facility.

Insurance Median

$948

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: $1,066 (299%)

Insurance Median: $948 (266%)

Cash: $1,066 (299% of Medicare)

Ins. Median: $948 (266% 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 266% of the Medicare baseline (a markup of 166%). 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	$70 - $2,445	20%
Caresource Mcr Adv	$80 - $948	22%
Humana	$80 - $2,812	22%
Aetna	$81 - $2,812	23%
Blue Cross Blue Shield	$83 - $2,345	23%
Today'S Option Mcr Adv-All Plans	$83 - $976	23%
Viant Beech St Mcr Adv	$83 - $976	23%
My True Advantage - All Plans	$84 - $948	24%
Consumers Life Ins-All Plans	$88 - $2,751	25%
Caresource Marketplace-All Other Plans	$109 - $1,516	31%
Multiplan-All Plans	$112 - $2,843	31%
Encore Health Services-All Plans	$140 - $2,996	39%
Siho-All Plans	$140 - $2,812	39%
Phcs-All Plans	$170 - $2,445	48%
Cigna	$458 - $1,519	128%
Health Net	$458 - $900	128%
Coventry/First Health-All Plans	$642 - $2,751	180%
Sagamore-All Plans	$1,747 - $2,812	490%
Community Health Alliance-All Plans	$1,785 - $2,873	501%

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 $1,066.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

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 74177.
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.