CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: University Hospitals Samaritan Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $3,426
  • Cash Discount Price: $3,059
  • vs. Medicare Baseline: 9.61x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at University Hospitals Samaritan Medical Center is $3,426. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,059. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 9.61x the Medicare baseline. Located in 1025 Center St, Ashland, OH.
Cash / Self-Pay
$3,059

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,426

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $3,059 (858%)
Insurance Median: $3,426 (961%)
Cash: $3,059 (858% of Medicare)
Ins. Median: $3,426 (961% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 961% of the Medicare baseline (a markup of 861%). 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 $333 - $3,499 93%
Blue Cross Blue Shield $333 - $3,682 93%
Cigna $333 - $3,760 93%
Devoted Health $333 93%
Humana $333 93%
Molina $333 93%
Primetime Health Plan $333 93%
Summacare $333 - $3,711 93%
The Health Plan $333 - $3,589 93%
UnitedHealthcare $333 - $3,760 93%
Wellcare By Allwell $333 93%
Paramount $343 96%
Perennial Advantage Of Ohio $349 98%
Valor Health Plans $349 98%
University Health Employee Plan (Contigo) $520 146%
Ambetter / Centene $599 168%
Caresource $599 168%
Amish Aid Community Plan $600 168%
Amish Church Fund And Workers Aid Plan $600 168%
Buckeye Plain Ministries $600 168%
Christian Healthcare Ministries $900 - $2,039 253%
Medical Mutual Of Ohio $1,444 - $4,041 405%
Immergrun $2,039 572%
Sunrise Plain Communities $2,039 572%
Medical Mutual Traditional/Health Ohio $2,855 801%
Beech Street $3,262 - $3,670 915%
Ohio Preferred Network $3,262 - $3,670 915%
First Health $3,385 950%
Century Health Network $3,466 972%
Ohio Health Choice $3,466 - $3,670 972%
Private Healthcare System $3,507 984%
Aultcare $3,670 1030%
Clarity $3,670 1030%
Configurenet $3,670 1030%
Fortified Provider Network $3,670 1030%
Healthsmart $3,670 1030%
Jp Farley $3,670 1030%
Multiplan $3,670 1030%

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