CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Garrett Regional Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $166
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.68x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Garrett Regional Medical Center is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.68x the Medicare baseline. Located in 251 North Fourth Street, Oakland, MD.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$166

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%)
Insurance Median: $166 (68%)
Ins. Median: $166 (68% 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
Caresource Wv $158 65%
Aetna $162 - $176 66%
Carefirst D-Snp $162 66%
Carefirst Ppo $162 66%
Humana $162 66%
Medicare (plans) $162 66%
Provider Partners $162 66%
Senior Advantage $162 66%
United Mine Workers Of America $162 - $176 66%
UnitedHealthcare $162 - $176 66%
Amerigroup $166 68%
Carefirst Community Health Plan $166 68%
Coventry $166 68%
Highmark Health Options Wv $166 68%
Maryland Physicians Care $166 68%
The Health Plan Of Wv $166 68%
Wellpoint Wv $166 68%
Multiplan $167 69%
Upmc Commercial $174 71%
Alliance Coal $176 72%
American Correctional Healthcare $176 72%
Carefirst Commercial $176 72%
Cigna $176 72%
First Health $176 72%
John Hopkins Healthcare $176 72%
Peak Commercial $176 72%
Stratose/ 4 Most $176 72%
The Health Plan $176 72%
The Health Plan Commercial $176 72%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 251 North Fourth Street, Oakland, MD 21550
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals