CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Adena Regional Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,291
Cash Discount Price: $2,016
vs. Medicare Baseline: 6.43x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Adena Regional Medical Center is $2,291. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,016. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.43x the Medicare baseline. Located in 272 Hospital Road, Chillicothe, OH.

Cash / Self-Pay

$2,016

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,291

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: $2,016 (566%)

Insurance Median: $2,291 (643%)

Cash: $2,016 (566% of Medicare)

Ins. Median: $2,291 (643% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 643% of the Medicare baseline (a markup of 543%). 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
Aetna	$340 - $2,875	95%
Buckeye Community Health Plan	$340	95%
Humana	$340 - $3,831	95%
Medical Mutual Of Ohio	$340 - $2,659	95%
Medigold	$340	95%
Molina	$340	95%
UnitedHealthcare	$340 - $2,086	95%
Care Source	$347	97%
Gateway Health	$347	97%
Molina Marketplace	$562	158%
Care Source Just4Me	$613	172%
Sidecar Health	$936	263%
First Health	$1,250 - $3,161	351%
Blue Cross Blue Shield	$1,438 - $2,565	403%
Cigna	$1,711 - $2,496	480%
Ohio Ppo Connect	$2,823	792%
The Health Plan	$2,823	792%
Ohio Health Choice	$3,210	901%
Healthsmart	$3,428	962%
Integrated Health Plan	$3,831	1075%
Multiplan/Private Healthcare Systems	$3,831	1075%
Three Rivers Network	$3,831	1075%

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 $2,016.
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 Adena Regional Medical Center 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.