CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Rockcastle County Hospital, Inc.

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $273
  • Cash Discount Price: $3,257
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Rockcastle County Hospital, Inc. is $273. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,257. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.12x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.
Cash / Self-Pay
$3,257

Average discount available for prompt cash payment at this facility.

Insurance Median
$273

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: $3,257 (1336%)
Insurance Median: $273 (112%)
Cash: $3,257 (1336% of Medicare)
Ins. Median: $273 (112% 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.

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
Tricare $168 69%
Caresource Mcaid $189 78%
Coventry Mcaid-All Plans $189 78%
Medicaid / KanCare $189 78%
Molina Mcaid $189 78%
UnitedHealthcare $189 - $350 78%
Passport Hp Hmo - All Plans $200 82%
Blue Cross Blue Shield $224 - $847 92%
Caresource Mcr Adv-All Other Plans $224 92%
Humana $224 - $322 92%
Molina Marketplace - All Other Plans $224 92%
Molina Mcr Adv $224 92%
Signature Mcr Adv-All Plans $224 92%
Wellcare Mcr Adv-All Other Plans $224 92%
Multiplan-All Plans $3,642 1494%
Prime Health Services-All Plans $3,642 1494%
Integrated Hp-All Plans $3,814 1565%
Corvel - All Plans $3,856 1582%
Center Care-All Plans $4,071 1670%
Cigna $4,156 1705%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 145 Newcomb Avenue, Mount Vernon, KY 40456
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals