CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: University Hospitals Samaritan Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $3,086
  • Cash Discount Price: $2,756
  • vs. Medicare Baseline: 12.66x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at University Hospitals Samaritan Medical Center is $3,086. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,756. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 12.66x the Medicare baseline. Located in 1025 Center St, Ashland, OH.
Cash / Self-Pay
$2,756

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,086

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: $2,756 (1131%)
Insurance Median: $3,086 (1266%)
Cash: $2,756 (1131% of Medicare)
Ins. Median: $3,086 (1266% 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 1266% of the Medicare baseline (a markup of 1166%). 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
Aetna $212 - $3,152 87%
Blue Cross Blue Shield $212 - $3,318 87%
Cigna $212 - $3,387 87%
Devoted Health $212 87%
Humana $212 87%
Molina $212 87%
Primetime Health Plan $212 87%
Summacare $212 - $3,343 87%
The Health Plan $212 - $3,233 87%
UnitedHealthcare $212 - $3,387 87%
Wellcare By Allwell $212 87%
Paramount $218 89%
Perennial Advantage Of Ohio $222 91%
Valor Health Plans $222 91%
Ambetter / Centene $381 156%
Caresource $381 156%
University Health Employee Plan (Contigo) $520 213%
Amish Aid Community Plan $600 246%
Amish Church Fund And Workers Aid Plan $600 246%
Buckeye Plain Ministries $600 246%
Christian Healthcare Ministries $900 - $1,837 369%
Medical Mutual Of Ohio $1,301 - $3,641 534%
Immergrun $1,837 754%
Sunrise Plain Communities $1,837 754%
Medical Mutual Traditional/Health Ohio $2,572 1055%
Beech Street $2,939 - $3,307 1206%
Ohio Preferred Network $2,939 - $3,307 1206%
First Health $3,049 1251%
Century Health Network $3,123 1281%
Ohio Health Choice $3,123 - $3,307 1281%
Private Healthcare System $3,160 1296%
Aultcare $3,307 1357%
Clarity $3,307 1357%
Configurenet $3,307 1357%
Fortified Provider Network $3,307 1357%
Healthsmart $3,307 1357%
Jp Farley $3,307 1357%
Multiplan $3,307 1357%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1025 Center St, Ashland, OH 44805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals