CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Cleveland Clinic

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $548
  • Cash Discount Price: $1,544
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Cleveland Clinic is $548. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,544. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.54x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$1,544

Average discount available for prompt cash payment at this facility.

Insurance Median
$548

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: $1,544 (433%)
Insurance Median: $548 (154%)
Cash: $1,544 (433% of Medicare)
Ins. Median: $548 (154% 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
Summacare $53 - $1,133 15%
Aetna $82 - $3,158 23%
Blue Cross Blue Shield $82 - $2,017 23%
Devoted Health $82 - $331 23%
Humana $82 - $2,019 23%
The Health Plan $82 - $1,737 23%
United $82 - $828 23%
UnitedHealthcare $82 - $2,021 23%
Upmc $82 - $1,895 23%
Valor $82 - $331 23%
Cigna $84 - $2,526 24%
Communicare $86 - $348 24%
Perennial Health $88 - $358 25%
Pphp $88 - $364 25%
Zing Health $90 - $364 25%
Cc Ehp $155 - $1,482 43%
Paramount $191 - $423 54%
Buckeye $194 - $432 54%
Caresource $194 - $411 54%
Amerihealth $204 57%
Molina $204 - $432 57%
Oscar $209 - $913 59%
Mmo $267 - $2,211 75%
Ohcp $305 - $1,228 86%
Ohio Healthy $313 - $1,662 88%
Aultcare $337 - $1,358 95%
Amish Community Aid Plan $352 - $1,421 99%
Omas $392 - $1,579 110%
Healthsmart $431 - $1,737 121%
United Bh $452 127%
Phphi $470 - $1,895 132%
Clarity Health $509 - $2,053 143%
Gms $548 - $2,211 154%
Quality Care Partners $548 - $2,211 154%
Consociate Health $587 - $2,368 165%
Multiplan $705 - $2,842 198%
Three Rivers $705 - $2,842 198%
Usa Managed Care $705 - $2,842 198%
Php $1,425 400%
Medical Benefit Corp $1,662 466%
Parkview Health Plan $1,662 466%
Community Health Alliance $1,900 533%
Frontpath $2,138 600%
Managed Care Services $2,138 600%
Tertiary Care Network $2,138 600%

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