CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Metrohealth System

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $514
Cash Discount Price: $690
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Metrohealth System is $514. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $690. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.44x the Medicare baseline. Located in 2500 Metrohealth Drive, Cleveland, OH.

Cash / Self-Pay

$690

Average discount available for prompt cash payment at this facility.

Insurance Median

$514

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: $690 (194%)

Insurance Median: $514 (144%)

Cash: $690 (194% of Medicare)

Ins. Median: $514 (144% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medical Mutual	$180 - $1,313	51%
Humana	$215	60%
Aarp	$330	93%
Valor Health	$333	93%
Perennial Advantage	$337	95%
Mcgregor Pace	$363	102%
Buckeye Health Plan	$429	120%
Caresource	$462	130%
Aetna	$500 - $593	140%
Health E Ohio	$693	194%
Blue Cross Blue Shield	$718 - $1,258	201%
UnitedHealthcare	$824	231%
Clarity Health	$858	241%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $690.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Metrohealth System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.