CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Ochsner Medical Center Acute

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $634
  • Cash Discount Price: $644
  • vs. Medicare Baseline: 2.60x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Ochsner Medical Center Acute is $634. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $644. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.60x the Medicare baseline. Located in 1516 Jefferson Hwy, New Orleans, LA.
Cash / Self-Pay
$644

Average discount available for prompt cash payment at this facility.

Insurance Median
$634

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: $644 (264%)
Insurance Median: $634 (260%)
Cash: $644 (264% of Medicare)
Ins. Median: $634 (260% 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 260% of the Medicare baseline (a markup of 160%). 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
Tricare $87 - $222 36%
Medicaid / KanCare $182 - $191 75%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $222 91%
Blue Cross Blue Shield $222 - $908 91%
Healthy Blue Dual Advantage (Hmo-D-Snp) $222 91%
Humana $222 - $393 91%
Medicare (plans) $222 91%
Ochsner Health Plan $222 91%
UnitedHealthcare $222 - $518 91%
Pace New Orleans $244 100%
Healthy Blue (Healthy Louisiana) $401 164%
Louisiana Healthcare Connections (Healthy Louisiana) $401 164%
Aetna $405 - $1,799 166%
Amerihealth Caritas Louisiana (Healthy Louisiana) $405 166%
Christus Health Exchange Plan $446 183%
Zelis $983 403%
Cigna $1,372 563%
First Health Network $1,951 800%
Louisiana Workers' Compensation Corporation (Lwcc) $1,951 800%
Mississippi Physicians Care Network $1,951 800%
Healthcomp & Personify Health (Formerly Gilsbar) $2,055 843%
Claritev D/B/A Multiplan/Phcs/American Life Care $2,081 854%
Employers Health Network (Ehn) $2,211 907%
Prime Health Services Ppo $2,211 907%
Usa Managed Care Network $2,211 907%
Behavioral Health Systems $2,341 960%
Evolutions Healthcare $2,341 960%
Galaxy Health Network Ppo $2,341 960%
Galaxy Health Network Wc $2,341 960%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1516 Jefferson Hwy, New Orleans, LA 70121
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals