CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Galion Community Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $2,439
Cash Discount Price: $2,700
vs. Medicare Baseline: 10.01x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Galion Community Hospital is $2,439. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,700. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.01x the Medicare baseline. Located in 269 Portland Way South, Galion, OH.

Cash / Self-Pay

$2,700

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,439

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: $2,700 (1108%)

Insurance Median: $2,439 (1001%)

Cash: $2,700 (1108% of Medicare)

Ins. Median: $2,439 (1001% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1001% of the Medicare baseline (a markup of 901%). 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
Caresource	$664	272%
Medicaid / KanCare	$664	272%
Ohiorise	$664	272%
Molina	$678 - $5,629	278%
Blue Cross Blue Shield	$684 - $4,142	281%
Amerihealth	$698	286%
United_Healthcare	$698 - $4,142	286%
Buckeye	$719 - $4,142	295%
Humana	$719 - $4,142	295%
Medicare (plans)	$1,080 - $4,142	443%
Mount_Carmel	$1,080 - $4,142	443%
Aetna	$1,101 - $4,224	452%
Medical_Mutual	$2,541 - $4,224	1042%
Cigna	$2,795	1147%

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 $2,700.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Galion Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
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.