CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Southern Ohio Medical Center

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$304

about 0.9× the $356 Medicare rate · typically $300–$535

modeled estimate · not a bill or quote

What this hospital charges insurers

$303

About the fair price

about $1 under the fair price · 0.9× Medicare

Medicare pays $356 Fair price $304 This hospital $303 Cash price $2,580 Hospital's list price $5,160

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

On the higher side — 6 of 8 other OH hospitals charge less.

Cheapest $99 Priciest $330

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $304 (about 0.9× the $356 Medicare rate). Southern Ohio Medical Center charges insurers about $303, or about $2,580 in cash — about the fair price. Located in Portsmouth, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$61 - $4,695	17%
Blue Cross Blue Shieldmajor	$297 - $4,161	83%
Aetnamajor	$330 - $4,108	93%
Cignamajor	$559 - $4,428	157%
Humanamajor	$297 - $4,535	83%
Ambetter (Centene)	$277	78%
CareSource	$332 - $445	93%
Medical Mutual	$113 - $4,375	32%
Molina	$277 - $1,872	78%
WellCare	$277 - $300	78%
+ 6 smaller / regional plans	$273 - $4,695

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,580), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74177.

Insurance Before you use insurance

Call your insurance company to confirm Southern Ohio Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 74177.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Southern Ohio Medical Center

Compare: CT scan, abdomen and pelvis (with contrast) at other OH hospitals

Insurance negotiated median for the same procedure, sorted lowest first.