CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Norton Scott Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $826
Cash Discount Price: $479
vs. Medicare Baseline: 3.39x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Norton Scott Hospital is $826. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $479. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.39x the Medicare baseline. Located in 1451 N Gardner St, Scottsburg, IN.

Cash / Self-Pay

$479

Average discount available for prompt cash payment at this facility.

Insurance Median

$826

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: $479 (196%)

Insurance Median: $826 (339%)

Cash: $479 (196% of Medicare)

Ins. Median: $826 (339% 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 339% of the Medicare baseline (a markup of 239%). 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
Caresource Indiana Healthy Indiana Plan (Hip)	$90	37%
Managed Health Services (Mhs)	$90 - $575	37%
Managed Health Services (Mhs) Hoosier Care Connect	$90	37%
UnitedHealthcare	$90 - $1,428	37%
Caresource Indiana Hoosier Healthwise (Hhw)	$91	37%
Mdwise Hoosier Healthwise (Hhw)	$94	39%
Molina Healthcare	$249 - $256	102%
Aetna	$300	123%
Blue Cross Blue Shield	$527 - $1,406	216%
Managed Health Services (Mhs) Healthy Indiana Plan (Hip)	$575	236%
Mdwise Healthy Indiana Plan (Hip)	$575	236%
Communicare Advantage	$592	243%
Caresource Indiana Just4Me	$863	354%
Cigna	$1,247	512%
Multiplan	$1,917 - $2,037	786%
Encore Health Network	$2,037	836%
Prime Health	$2,037	836%
Ppom	$2,108	865%
Intercommunity Health Network (Ihn)	$2,156	884%

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 $479.
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 Norton Scott 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.