CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Fisher-Titus Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $2,248
Cash Discount Price: $3,066
vs. Medicare Baseline: 9.22x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Fisher-Titus Hospital is $2,248. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,066. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 9.22x the Medicare baseline. Located in 272 Benedict Avenue, Norwalk, OH.

Cash / Self-Pay

$3,066

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,248

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: $3,066 (1258%)

Insurance Median: $2,248 (922%)

Cash: $3,066 (1258% of Medicare)

Ins. Median: $2,248 (922% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 922% of the Medicare baseline (a markup of 822%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Perennial Advantage	$78 - $238	32%
UnitedHealthcare	$78 - $3,100	32%
Sidecar	$80 - $2,364	33%
Aetna	$227 - $2,964	93%
Blue Cross Blue Shield	$227 - $3,100	93%
Buckeye	$227 - $250	93%
Caresource	$227 - $243	93%
Medical Mutual Of Ohio	$227 - $1,979	93%
Paramount	$227 - $3,066	93%
Summacare	$227 - $2,998	93%
Wellcare	$227	93%
Zing Health	$227	93%
Valor Health	$234	96%
Amerihealth	$250	103%
Molina	$250	103%
Health Ohio Network	$2,385	978%
Tricare	$2,555 - $2,726	1048%
Cigna	$2,726	1118%
Claimsdoc	$2,726	1118%
First Health	$3,066	1258%
Multiplan	$3,066	1258%
Ohio Health Choice	$3,066	1258%
Healthscope	$3,100	1272%
Emerald Health	$3,305	1356%

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 $3,066.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fisher-Titus Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.