CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Ohiohealth Morrow County Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,315
  • Cash Discount Price: $2,267
  • vs. Medicare Baseline: 3.69x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Ohiohealth Morrow County Hospital is $1,315. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,267. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.69x the Medicare baseline. Located in 651 West Marion Road, Mount Gilead, OH.
Cash / Self-Pay
$2,267

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,315

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: $2,267 (636%)
Insurance Median: $1,315 (369%)
Cash: $2,267 (636% of Medicare)
Ins. Median: $1,315 (369% 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 369% of the Medicare baseline (a markup of 269%). 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
Medicaid / KanCare $484 - $493 136%
UnitedHealthcare $484 - $2,857 136%
Blue Cross Blue Shield $489 - $2,693 137%
Amerihealth Caritas - All Plans $498 140%
Humana $498 - $3,244 140%
Molina Exchange - All Other Plans $798 224%
Medicare (plans) $1,291 - $1,317 362%
Aetna $1,315 - $3,000 369%
Caresource Marketplace - All Other Plans $1,613 453%
Medical Mutual Of Ohio Marketplace $2,616 734%
Ohiohealthy Network - All Other Plans $2,616 734%
Ohiohealthy Preferred $2,616 734%
Medical Mutual Of Ohio Comm - All Other Plans $2,826 793%
Medical Mutual Of Ohio - Admin Serv $2,965 832%
Phcs - All Plans $3,209 900%
Cigna $3,279 920%
Multiplan - All Plans $3,314 930%
Healthstar Comm - All Plans $3,349 940%
Beech Street - All Plans $3,384 949%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 West Marion Road, Mount Gilead, OH 43338
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals