CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Norton Hospitals, Inc

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $1,306
  • Cash Discount Price: $885
  • vs. Medicare Baseline: 5.36x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Norton Hospitals, Inc is $1,306. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $885. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.36x the Medicare baseline. Located in 200 East Chestnut Street, Louisville, KY.
Cash / Self-Pay
$885

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,306

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: $885 (363%)
Insurance Median: $1,306 (536%)
Cash: $885 (363% of Medicare)
Ins. Median: $1,306 (536% 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 536% of the Medicare baseline (a markup of 436%). 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 $104 - $3,847 43%
Aetna $227 - $3,241 93%
UnitedHealthcare $227 - $4,082 93%
Wellcare $227 93%
Passport $885 363%
Cigna $1,044 - $2,944 428%
Humana $1,062 - $1,992 436%
Siho $1,549 - $3,320 635%
Siho In Exchange $3,099 1271%
Multiplan $3,453 - $3,763 1416%
Correct Care $3,674 1507%
Correct Care Ob & Gyn $3,674 1507%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 East Chestnut Street, Louisville, KY 40202
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals