CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Decatur County Memorial Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $799
Cash Discount Price: $1,181
vs. Medicare Baseline: 3.28x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Decatur County Memorial Hospital is $799. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,181. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.28x the Medicare baseline. Located in 720 North Lincoln Street, Greensburg, IN.

Cash / Self-Pay

$1,181

Average discount available for prompt cash payment at this facility.

Insurance Median

$799

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: $1,181 (484%)

Insurance Median: $799 (328%)

Cash: $1,181 (484% of Medicare)

Ins. Median: $799 (328% 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 328% of the Medicare baseline (a markup of 228%). 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	$30 - $1,397	12%
Aetna	$77 - $2,093	32%
Blue Cross Blue Shield	$77 - $1,592	32%
Caresource Mcr Adv	$77 - $839	32%
Choice Care Mcr Adv	$77 - $799	32%
Choicecare Commercial-All Other Plans	$77 - $2,561	32%
Encircle-All Plans	$77 - $1,397	32%
Siho Mcr Adv	$77 - $799	32%
Thcg/Encore-All Plans	$77 - $2,589	32%
Caresource Just4Me-All Other Plans	$88 - $1,358	36%
Medicaid / KanCare	$90 - $170	37%
Cigna	$96 - $1,200	39%
Siho-All Other Plans	$276 - $2,671	113%
Sagamore Health-All Plans	$316 - $2,203	130%
Healthsource Indiana-All Plans	$356 - $2,479	146%

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 $1,181.
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 Decatur County 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.