CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Cleveland Clinic

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $428
  • Cash Discount Price: $983
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Cleveland Clinic is $428. 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 1.76x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$983

Average discount available for prompt cash payment at this facility.

Insurance Median
$428

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: $428 (176%)
Cash: $983 (403% of Medicare)
Ins. Median: $428 (176% 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 - $722 21%
Aetna $78 - $2,262 32%
Blue Cross Blue Shield $78 - $1,285 32%
Devoted Health $78 - $224 32%
Humana $78 - $1,286 32%
The Health Plan $78 - $1,244 32%
United $78 - $518 32%
UnitedHealthcare $78 - $1,448 32%
Upmc $78 - $1,357 32%
Valor $78 - $224 32%
Cigna $80 - $1,810 33%
Communicare $81 - $235 33%
Perennial Health $84 - $242 34%
Pphp $84 - $246 34%
Zing Health $85 - $246 35%
Paramount $132 - $423 54%
Buckeye $135 - $432 55%
Caresource $135 - $411 55%
Amerihealth $141 58%
Molina $141 - $432 58%
Cc Ehp $147 - $944 60%
Oscar $200 - $604 82%
Mmo $224 - $1,583 92%
Ohcp $291 - $880 119%
Ohio Healthy $300 - $1,059 123%
Aultcare $322 - $973 132%
Amish Community Aid Plan $337 - $1,018 138%
Omas $374 - $1,131 153%
Healthsmart $412 - $1,244 169%
Phphi $449 - $1,357 184%
United Bh $452 185%
Clarity Health $487 - $1,470 200%
Gms $524 - $1,583 215%
Quality Care Partners $524 - $1,583 215%
Consociate Health $562 - $1,696 231%
Multiplan $674 - $2,036 276%
Three Rivers $674 - $2,036 276%
Usa Managed Care $674 - $2,036 276%
Php $908 372%
Medical Benefit Corp $1,059 434%
Parkview Health Plan $1,059 434%
Community Health Alliance $1,210 496%
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: 9500 Euclid Avenue, Cleveland, OH 44195
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals