CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Nationwide Children's Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $705
Cash Discount Price: $2,133
vs. Medicare Baseline: 2.89x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Nationwide Children's Hospital is $705. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,133. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.89x the Medicare baseline. Located in 700 Children's Drive, Columbus, OH.

Cash / Self-Pay

$2,133

Average discount available for prompt cash payment at this facility.

Insurance Median

$705

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: $2,133 (875%)

Insurance Median: $705 (289%)

Cash: $2,133 (875% of Medicare)

Ins. Median: $705 (289% 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 289% of the Medicare baseline (a markup of 189%). 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
Aetna	$84 - $2,252	34%
Caresource	$117 - $605	48%
Humana	$190 - $2,252	78%
UnitedHealthcare	$232 - $2,252	95%
Ohio Ppo Connect	$233 - $2,204	96%
Osu	$233 - $2,204	96%
Blue Cross Blue Shield	$286 - $2,228	117%
Tricare	$288	118%
Mmo	$296 - $2,228	121%
Cigna	$308 - $2,228	126%
Front Path Health Coalition	$308 - $2,228	126%
Ohc	$308 - $2,204	126%
Ohg	$308 - $2,133	126%
The Health Plan	$308 - $2,275	126%
Amerihealth	$605	248%
Bchp	$605	248%
Molina	$605	248%
Ahpo	$2,228	914%
Unicare	$2,252	924%
Emerald Health	$2,323	953%
First Health	$2,323	953%
Phcs	$2,323	953%

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 $2,133.
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 Nationwide Children's 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.