CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Baptist Health Deaconess Madisonville

Billing Code: 74176 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$163

about 0.7× the $244 Medicare rate · typically $130–$209

modeled estimate · not a bill or quote

What this hospital charges insurers

$163

About the fair price

0.7× Medicare

Medicare pays $244 Fair price $163 This hospital $163 Cash price $875 Hospital's list price $6,731

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

On the higher side — 6 of 8 other KY hospitals charge less.

Cheapest $97 Priciest $180

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $163 (about 0.7× the $244 Medicare rate). Baptist Health Deaconess Madisonville charges insurers about $163, or about $875 in cash — about the fair price. Located in Madisonville, KY.

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✓ Humana CignaKaiser 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	$74 - $2,309	30%
Blue Cross Blue Shieldmajor	$74 - $2,227	30%
Aetnamajor	$74 - $808	30%
Humanamajor	$74 - $2,356	30%
Ambetter (Centene)	$410	168%
HealthLink	$409 - $2,301	168%
Molina	$74 - $808	30%
WellCare	$74 - $808	30%
+ 8 smaller / regional plans	$74 - $5,782

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 875), 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 Baptist Health Deaconess Madisonville 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 Baptist Health Deaconess Madisonville

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

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