CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Mercy Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $328
  • Cash Discount Price: $983
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Mercy Medical Center is $328. 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 1.35x the Medicare baseline. Located in 1320 Mercy Drive Nw, Canton, OH.
Cash / Self-Pay
$983

Average discount available for prompt cash payment at this facility.

Insurance Median
$328

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: $328 (135%)
Cash: $983 (403% of Medicare)
Ins. Median: $328 (135% 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 - $524 21%
Aetna $78 - $1,513 32%
Blue Cross Blue Shield $78 - $974 32%
Cigna $78 - $874 32%
Humana $78 - $223 32%
The Health Plan $78 - $1,281 32%
United $78 - $518 32%
Mmo $80 - $524 33%
Communicare $81 - $235 33%
Perennial Health $84 - $241 34%
Zing Health $85 - $246 35%
Aultcare $89 - $620 37%
Oscar $200 - $582 82%
Ohcp $291 - $735 119%
Buckeye $328 135%
Caresource $328 135%
Molina $334 137%
Amerihealth $350 144%
Omas $374 - $756 153%
Phphi $449 - $908 184%
Gms $524 - $1,059 215%
Immergrun $562 - $756 231%
Cc Ehp $604 - $613 248%
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%
Consociate Health $1,135 466%
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: 1320 Mercy Drive Nw, Canton, OH 44708
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals