CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Indiana University Health White Memorial Hospital

Billing Code: 74176 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$741

about 3.0× the $244 Medicare rate · typically $280–$873

modeled estimate · not a bill or quote

What this hospital charges insurers

$725

About the fair price

about $16 under the fair price · 3.0× Medicare

Medicare pays $244 Fair price $741 This hospital $725 Cash price $511 Hospital's list price $1,639

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 $725

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 $741 (about 3.0× the $244 Medicare rate). Indiana University Health White Memorial Hospital charges insurers about $725, or about $511 in cash — about the fair price. Located in Monticello, IN.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$350 - $1,139	144%
Blue Cross Blue Shieldmajor	$350 - $1,365	144%
Aetnamajor	$725 - $1,149	297%
Cignamajor	$725 - $1,248	297%
CareSource	$350	144%
Health Net	$674 - $1,387	276%
+ 9 smaller / regional plans	$350 - $1,823

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 511), 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 Indiana University Health White Memorial Hospital 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 Indiana University Health White Memorial Hospital

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

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