CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: University Hospitals Avon Rehabilitation Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $5,805
  • Cash Discount Price: $5,805
  • vs. Medicare Baseline: 16.29x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at University Hospitals Avon Rehabilitation Hospital is $5,805. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,805. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 16.29x the Medicare baseline. Located in 37900 Chester Rd, Avon, OH.
Cash / Self-Pay
$5,805

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,805

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: $5,805 (1629%)
Insurance Median: $5,805 (1629%)
Cash: $5,805 (1629% of Medicare)
Ins. Median: $5,805 (1629% 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 1629% of the Medicare baseline (a markup of 1529%). 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
Uh Employees (Administered By Meritian) $2,258 634%
Blue Cross Blue Shield $3,338 - $5,805 937%
Healthsmart (Formerly Emerald) $3,773 1059%
Ohio Health Choice - Preferred Choice Plus $3,773 1059%
Clarity Health (Enterprise Group Planning Will Be Listed On Id Card As Well) $4,296 1205%
Occunet Fka Health Ohio Network $4,296 1205%
Paramount $4,354 - $5,805 1222%
Ohio Preferred Network $4,644 1303%
First Health $4,934 1384%
Beechstreet $5,225 1466%
Fortified $5,225 1466%
Multiplan $5,225 1466%
Ohio Health Choice $5,225 1466%
Phcs $5,225 1466%
Aetna $5,805 1629%
Ambetter / Centene $5,805 1629%
Amerihealth Cartias $5,805 1629%
Antidote Healthe Care Of Ohio $5,805 1629%
Aultcare $5,805 1629%
Buckeye $5,805 1629%
Caresource $5,805 1629%
Caresource (Marketplace) $5,805 1629%
Cigna $5,805 1629%
Devoted $5,805 1629%
Health Plan $5,805 1629%
Humana $5,805 1629%
Jp Farley (Select Employers) $5,805 1629%
Medical Mutual $5,805 1629%
Medical Mutual (Supermed, Trad, Medflex) $5,805 1629%
Medical Mutual (Marketplace Plan) $5,805 1629%
Molina $5,805 1629%
Summacare $5,805 1629%
United $5,805 1629%
UnitedHealthcare $5,805 1629%
Wellcare $5,805 1629%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 37900 Chester Rd, Avon, OH 44011
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL