CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Diley Ridge Medical Center

Billing Code: 74177 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$646

about 1.8× the $356 Medicare rate · typically $318–$1,174

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,126

Above the fair price

about $480 over the fair price · 3.2× Medicare

Medicare pays $356 Fair price $646 This hospital $1,126 Cash price $2,118 Hospital's list price $3,200

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $99 Priciest $1,126

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $646 (about 1.8× the $356 Medicare rate). Diley Ridge Medical Center charges insurers about $1,126, or about $2,118 in cash — above the fair price. Located in Canal Winchester, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $646. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$336 - $1,186	94%
Blue Cross Blue Shieldmajor	$330 - $3,200	93%
Aetnamajor	$330 - $3,200	93%
Cignamajor	$1,126	316%
Humanamajor	$1,636 - $3,200	459%
AmeriHealth	$1,494	419%
CareSource	$2,336	655%
GEHA	$1,186 - $1,437	333%
HealthLink	$2,400	673%
HealthPartners	$1,126	316%
MagnaCare	$1,494	419%
Medical Mutual	$2,435	683%
MVP Health Care	$1,126	316%
Oscar Health	$336	94%
Priority Health	$1,126	316%
Sentara	$3,200	898%
UniCare	$1,494	419%
+ 89 smaller / regional plans	$336 - $2,720

Government programs also on file: Medicare, Medicaid.

Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,118), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74177.

Insurance Before you use insurance

Call your insurance company to confirm Diley Ridge Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 74177.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Diley Ridge Medical Center

Compare: CT scan, abdomen and pelvis (with contrast) at other OH hospitals

Insurance negotiated median for the same procedure, sorted lowest first.