CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $368
  • Cash Discount Price: $1,141
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Cincinnati Children's Hospital Medical Center is $368. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,141. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.03x the Medicare baseline. Located in 3333 Burnet Avenue, Cincinnati, OH.
Cash / Self-Pay
$1,141

Average discount available for prompt cash payment at this facility.

Insurance Median
$368

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: $1,141 (320%)
Insurance Median: $368 (103%)
Cash: $1,141 (320% of Medicare)
Ins. Median: $368 (103% 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.

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 $57 - $3,964 16%
Aetna $58 - $3,831 16%
Mhs_In $59 - $211 17%
Caresource_In $60 - $221 17%
Passport_Ky $60 - $1,049 17%
Humana $61 - $1,008 17%
United_Health_Care_Ky $61 - $1,065 17%
Wellcare_Ky $61 - $1,061 17%
Caresource_Oh $99 - $588 28%
Amerihealth_Caritas_Oh $102 - $635 29%
Molina_Oh $104 - $646 29%
Buckeye_Oh $109 - $676 31%
United_Health_Care_Oh $118 - $620 33%
Caresource_Oh_Insurance $211 - $1,936 59%
Medical_Mutual_Of_Ohio_Insurance $236 - $3,831 66%
Parkview_Signature_Care_Insurance $270 - $3,146 76%
Point_Comfort_Insurance $286 - $2,621 80%
Margaret_Mary_Health_Insurance $292 - $3,146 82%
United_Health_Care_Insurance $335 - $3,614 94%
Beechstreet_Insurance $355 - $3,952 100%
Cigna $355 - $3,831 100%
Health_Ohio_Network_Insurance $400 - $3,831 112%
Custom_Design_Benefits_Insurance $418 - $3,831 117%
Health_Smart_Preferred_Insurance $418 - $3,831 117%
Medical_Benefit_Administrators_Insurance $418 - $3,831 117%
Ohio_Health_Choice_Insurance $418 - $3,831 117%
Private_Health_Care_Systems_Insurance $422 - $3,872 118%
First_Health_Group_Insurance $431 - $3,952 121%
Health_Link_Insurance $431 - $3,952 121%
Evolutions_Health_Care_Systems $440 - $4,033 123%
Galaxy_Health_Insurance $440 - $4,033 123%

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