CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Fostoria Community Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,882
Cash Discount Price: $2,353
vs. Medicare Baseline: 5.28x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Fostoria Community Hospital is $1,882. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,353. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.28x the Medicare baseline. Located in 501 Van Buren Street, Fostoria, OH.

Cash / Self-Pay

$2,353

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,882

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: $2,353 (660%)

Insurance Median: $1,882 (528%)

Cash: $2,353 (660% of Medicare)

Ins. Median: $1,882 (528% 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 528% of the Medicare baseline (a markup of 428%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Meridian Health Plan Of Mi	$191	54%
Paramount Health Care	$268 - $1,919	75%
Blue Cross Blue Shield	$275 - $2,346	77%
Health Alliance Plan	$275 - $2,715	77%
Health Value Management	$275 - $784	77%
Buckeye Community Health Plan	$283 - $807	79%
Buckeye Community Health Plan Inc	$313 - $1,314	88%
Aetna	$317 - $2,425	89%
Dayton Area Health Plan Dba Caresource	$434 - $1,502	122%
UnitedHealthcare	$580 - $2,165	163%
Amerihealth	$607	170%
Veterans Affairs	$796	223%
Medical Mutual Of Ohio	$2,045 - $2,176	574%
Frontpath Health Coalition	$2,085	585%
Ohio Health Choice	$2,353	660%
Ohio Ppo Connect	$2,353 - $2,715	660%
Health Ohio Network	$2,860	802%
Connecticut General Life Insurance Company	$2,889	811%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,353.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fostoria Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.