CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $465
  • Cash Discount Price: $3,415
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Memorial Hospital is $465. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,415. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.30x the Medicare baseline. Located in 715 South Taft Avenue, Fremont, OH.
Cash / Self-Pay
$3,415

Average discount available for prompt cash payment at this facility.

Insurance Median
$465

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: $3,415 (958%)
Insurance Median: $465 (130%)
Cash: $3,415 (958% of Medicare)
Ins. Median: $465 (130% 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.

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
Meridian Health Plan Of Mi $191 - $1,617 54%
Aetna $263 - $3,300 74%
Summacare $263 - $2,890 74%
Paramount Healthcare Inc $268 - $2,942 75%
Blue Cross Blue Shield $273 - $1,747 77%
Buckeye Community Health Plan $275 - $1,194 77%
Frontpath $275 - $3,210 77%
Health Alliance Plan $275 - $3,415 77%
Humana $275 - $1,617 77%
Molina Healthcare Of Ohio $275 - $2,488 77%
Caresource $280 - $1,252 79%
UnitedHealthcare $302 - $754 85%
Cigna $313 - $3,662 88%
Health Ohio Network $380 - $3,625 107%
Amerihealth $463 - $928 130%
Medical Mutual Of Ohio $892 - $3,510 250%
Multiplan $892 - $4,729 250%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 715 South Taft Avenue, Fremont, OH 43420
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals