CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Union Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $318
  • Cash Discount Price: $983
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Union Hospital is $318. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $983. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.30x the Medicare baseline. Located in 659 Boulevard, Dover, OH.
Cash / Self-Pay
$983

Average discount available for prompt cash payment at this facility.

Insurance Median
$318

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: $983 (403%)
Insurance Median: $318 (130%)
Cash: $983 (403% of Medicare)
Ins. Median: $318 (130% 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
Summacare $50 - $707 21%
Aetna $78 - $1,513 32%
Blue Cross Blue Shield $78 - $806 32%
Cigna $78 - $681 32%
Humana $78 - $223 32%
The Health Plan $78 - $1,301 32%
United $78 - $747 32%
Valor $78 - $223 32%
Mmo $80 - $983 33%
Aultcare $81 - $681 33%
Communicare $81 - $235 33%
Perennial Health $84 - $241 34%
Pphp $84 - $246 34%
Zing Health $85 - $246 35%
Cc Ehp $87 - $1,129 36%
Oscar $200 - $582 82%
Devoted Health $223 91%
UnitedHealthcare $223 91%
Upmc $223 - $908 91%
Ohcp $291 - $735 119%
Buckeye $345 142%
Caresource $345 142%
Molina $362 149%
Omas $374 - $756 153%
Amerihealth $379 155%
Healthsmart $412 - $832 169%
Phphi $449 - $908 184%
Gms $524 - $1,059 215%
Consociate Health $562 - $1,135 231%
Multiplan $674 - $1,362 276%
Amish Community Aid Plan $681 - $756 279%
Ohio Healthy $817 335%
Php $908 372%
Medical Benefit Corp $1,059 434%
Frontpath $1,362 559%
Managed Care Services $1,362 559%
Tertiary Care Network $1,362 559%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 659 Boulevard, Dover, OH 44622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals