CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Medstar Montgomery Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $109
  • Cash Discount Price: $106
  • vs. Medicare Baseline: 0.45x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Medstar Montgomery Medical Center is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $106. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.45x the Medicare baseline. Located in 18101 Prince Philip Drive, Olney, MD.
Cash / Self-Pay
$106

Average discount available for prompt cash payment at this facility.

Insurance Median
$109

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: $106 (43%)
Insurance Median: $109 (45%)
Cash: $106 (43% of Medicare)
Ins. Median: $109 (45% 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
Aetna $109 45%
Amerigroup $109 45%
Amerihealth Caritas District Of Columbia $109 45%
Carefirst Advantage Inc $109 45%
Carefirst Blue Choice Inc $109 45%
Cigna $109 45%
First Health $109 45%
Hscsn $109 45%
Humana $109 45%
Kaiser Permanente $109 45%
Magellan Behavioral Health Inc $109 45%
Mamsi $109 45%
Medstar Family Choice $109 45%
Medstar Family Choice Inc $109 45%
Ncppo Healthlink Ppo $109 45%
Pfc $109 45%
Private Healthcare Systems (Phcs) $109 45%
Tricare $109 45%
United Behavioral Health Inc $109 45%
UnitedHealthcare $109 45%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 18101 Prince Philip Drive, Olney, MD 20832
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals