CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Christ Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $626
  • Cash Discount Price: $2,531
  • vs. Medicare Baseline: 2.57x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Christ Hospital is $626. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,531. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.57x the Medicare baseline. Located in 2139 Auburn Avenue, Cincinnati, OH.
Cash / Self-Pay
$2,531

Average discount available for prompt cash payment at this facility.

Insurance Median
$626

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: $2,531 (1038%)
Insurance Median: $626 (257%)
Cash: $2,531 (1038% of Medicare)
Ins. Median: $626 (257% 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 257% of the Medicare baseline (a markup of 157%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $90 - $4,219 37%
Caresource [2031] $90 - $4,219 37%
Humana $90 - $4,219 37%
Medicaid / KanCare $90 - $4,219 37%
UnitedHealthcare $93 - $4,219 38%
Aetna $223 - $4,219 91%
Allied Benefits [2163] $223 91%
Ambetter / Centene $223 91%
Buckeye Mycare Dual [2171] $223 91%
Cigna $223 - $4,219 91%
Custom Design Benefits - True Cost [3004] $223 91%
First Health [2041] $223 91%
Medben [2222] $223 91%
Medicare (plans) $223 91%
Medigold Ppo [2204] $223 91%
Meridian [2185] $223 91%
Meritain Health [2224] $223 91%
Other Exchange Plan [9992] $223 - $4,219 91%
Perennial [4200] $223 91%
Poppins Health [2299] $223 91%
Amerihealth Caritas [2230] $419 172%
Medical Mutual [2054] $658 270%
Western And Southern [2076] $658 270%
Geha [2168] $795 326%
Golden Rule [2161] $795 326%
United Medical Resources [2104] $795 326%
Kentucky Passport/Molina [2097] $1,055 433%
Wellcare Of Kentucky [2191] $1,055 433%
Ohio Health Choice [2062] $2,025 831%
Nalc [2178] $2,242 920%
Priority Health [2225] $2,242 920%
Life Synch [2080] $2,531 1038%
Multiplan/Phcs [2059] $3,080 1263%
Bccp [3079] $4,219 1731%
Buckeye Community Health [2028] $4,219 1731%
Healthcare Highways [2298] $4,219 1731%
Sagamore Health Network [2066] $4,219 1731%
Suburban Health [2408] $4,219 1731%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2139 Auburn Avenue, Cincinnati, OH 45219
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals