CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $2,572
  • Cash Discount Price: $1,958
  • vs. Medicare Baseline: 7.22x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Cameron Memorial Community Hospital Inc is $2,572. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,958. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 7.22x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.
Cash / Self-Pay
$1,958

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,572

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: $1,958 (549%)
Insurance Median: $2,572 (722%)
Cash: $1,958 (549% of Medicare)
Ins. Median: $2,572 (722% 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 722% of the Medicare baseline (a markup of 622%). 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
Blue Cross Blue Shield $162 - $1,267 45%
Caresource Indiana Of In $162 - $1,201 45%
Managed Health Services $162 45%
Mdwise $162 45%
Aetna $1,044 - $2,820 293%
Humana $1,044 - $2,819 293%
UnitedHealthcare $1,044 - $2,572 293%
Plain Church Group Ministry $1,273 357%
Centivo $1,776 498%
Lucent $1,776 498%
Phcs $2,448 687%
Php $2,475 694%
Sagamore Health Network $2,520 707%
Signature Care $2,709 - $2,872 760%
Three Rivers Preferred $2,774 778%
Cigna $2,817 790%
Coventry $2,872 806%
Lutheran Preferred $2,938 824%
Frontpath $3,003 843%
Encore $3,005 843%
Corvel $3,036 852%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 416 E Maumee St, Angola, IN 46703
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals