CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Medstar Union Memorial Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $212
  • Cash Discount Price: $208
  • vs. Medicare Baseline: 0.87x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Medstar Union Memorial Hospital is $212. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $208. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.87x the Medicare baseline. Located in 201 East University Parkway, Baltimore, MD.
Cash / Self-Pay
$208

Average discount available for prompt cash payment at this facility.

Insurance Median
$212

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: $208 (85%)
Insurance Median: $212 (87%)
Cash: $208 (85% of Medicare)
Ins. Median: $212 (87% 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 $212 87%
Amerigroup $212 87%
Amerihealth Caritas District Of Columbia $212 87%
Carefirst Advantage Inc $212 87%
Carefirst Blue Choice Inc $212 87%
Cigna $212 87%
First Health $212 87%
Hscsn $212 87%
Humana $212 87%
Kaiser Permanente $212 87%
Magellan Behavioral Health Inc $212 87%
Mamsi $212 87%
Medstar Family Choice $212 87%
Medstar Family Choice Inc $212 87%
Ncppo Healthlink Ppo $212 87%
Pfc $212 87%
Private Healthcare Systems (Phcs) $212 87%
Tricare $212 87%
United Behavioral Health Inc $212 87%
UnitedHealthcare $212 87%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 East University Parkway, Baltimore, MD 21218
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals