CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Down East Community Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $1,208
Cash Discount Price: $1,733
vs. Medicare Baseline: 4.96x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Down East Community Hospital is $1,208. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,733. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.96x the Medicare baseline. Located in 11 Hospital Drive, Machias, ME.

Cash / Self-Pay

$1,733

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,208

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: $1,733 (711%)

Insurance Median: $1,208 (496%)

Cash: $1,733 (711% of Medicare)

Ins. Median: $1,208 (496% 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 496% of the Medicare baseline (a markup of 396%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$354 - $3,078	145%
Humana	$354 - $1,678	145%
Wellcare	$354 - $1,678	145%
Partners Direct Health	$403 - $1,907	165%
Community Health Options	$667 - $3,158	274%
Aetna	$672 - $3,185	276%
UnitedHealthcare	$692 - $3,280	284%
Martins Point	$725 - $3,433	297%
Patients Advocates	$725 - $3,433	297%
Cigna	$726 - $3,440	298%
Harvard Pilgrim	$737 - $3,490	302%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,733.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Down East Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.