CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $352
  • Cash Discount Price: $1,101
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Cincinnati Children's Hospital Medical Center is $352. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,101. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.44x the Medicare baseline. Located in 3333 Burnet Avenue, Cincinnati, OH.
Cash / Self-Pay
$1,101

Average discount available for prompt cash payment at this facility.

Insurance Median
$352

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: $1,101 (452%)
Insurance Median: $352 (144%)
Cash: $1,101 (452% of Medicare)
Ins. Median: $352 (144% 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.

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
Blue Cross Blue Shield $54 - $3,832 22%
Aetna $55 - $3,703 23%
Mhs_In $56 - $117 23%
Caresource_In $57 - $123 23%
Humana $58 - $974 24%
Passport_Ky $58 - $1,013 24%
United_Health_Care_Ky $58 - $1,029 24%
Wellcare_Ky $58 - $1,025 24%
Caresource_Oh $69 - $588 28%
Amerihealth_Caritas_Oh $71 - $635 29%
Molina_Oh $72 - $646 30%
Buckeye_Oh $75 - $676 31%
United_Health_Care_Oh $82 - $620 34%
Caresource_Oh_Insurance $202 - $1,871 83%
Medical_Mutual_Of_Ohio_Insurance $225 - $3,703 92%
Parkview_Signature_Care_Insurance $258 - $3,040 106%
Point_Comfort_Insurance $274 - $2,534 112%
Margaret_Mary_Health_Insurance $279 - $3,040 114%
United_Health_Care_Insurance $321 - $3,493 132%
Beechstreet_Insurance $340 - $3,820 139%
Cigna $340 - $3,703 139%
Health_Ohio_Network_Insurance $383 - $3,703 157%
Custom_Design_Benefits_Insurance $400 - $3,703 164%
Health_Smart_Preferred_Insurance $400 - $3,703 164%
Medical_Benefit_Administrators_Insurance $400 - $3,703 164%
Ohio_Health_Choice_Insurance $400 - $3,703 164%
Private_Health_Care_Systems_Insurance $404 - $3,742 166%
First_Health_Group_Insurance $413 - $3,820 169%
Health_Link_Insurance $413 - $3,820 169%
Evolutions_Health_Care_Systems $421 - $3,898 173%
Galaxy_Health_Insurance $421 - $3,898 173%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3333 Burnet Avenue, Cincinnati, OH 45229
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens