CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Metrohealth System

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $305
  • Cash Discount Price: $652
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Metrohealth System is $305. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $652. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.25x the Medicare baseline. Located in 2500 Metrohealth Drive, Cleveland, OH.
Cash / Self-Pay
$652

Average discount available for prompt cash payment at this facility.

Insurance Median
$305

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: $652 (267%)
Insurance Median: $305 (125%)
Cash: $652 (267% of Medicare)
Ins. Median: $305 (125% 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
Humana $99 41%
Medical Mutual $123 - $898 50%
Aarp $226 93%
Valor Health $228 94%
Aetna $230 - $361 94%
Perennial Advantage $230 94%
Mcgregor Pace $248 102%
Buckeye Health Plan $293 120%
Caresource $316 130%
Health E Ohio $474 194%
Blue Cross Blue Shield $491 - $861 201%
UnitedHealthcare $525 215%
Clarity Health $587 241%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2500 Metrohealth Drive, Cleveland, OH 44109
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals