CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Nationwide Children's Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $1,500
Cash Discount Price: $2,421
vs. Medicare Baseline: 4.21x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Nationwide Children's Hospital is $1,500. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,421. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.21x the Medicare baseline. Located in 700 Children's Drive, Columbus, OH.

Cash / Self-Pay

$2,421

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,500

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: $2,421 (679%)

Insurance Median: $1,500 (421%)

Cash: $2,421 (679% of Medicare)

Ins. Median: $1,500 (421% 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 421% of the Medicare baseline (a markup of 321%). 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	$88 - $2,556	25%
Caresource	$123 - $605	35%
Humana	$198 - $2,556	56%
UnitedHealthcare	$243 - $2,556	68%
Ohio Ppo Connect	$245 - $2,502	69%
Osu	$245 - $2,502	69%
Blue Cross Blue Shield	$300 - $2,529	84%
Tricare	$303	85%
Mmo	$312 - $2,529	88%
Cigna	$325 - $2,529	91%
Front Path Health Coalition	$325 - $2,529	91%
Ohc	$325 - $2,502	91%
Ohg	$325 - $2,421	91%
The Health Plan	$325 - $2,582	91%
Amerihealth	$605	170%
Bchp	$605	170%
Molina	$605	170%
Ahpo	$2,529	710%
Unicare	$2,556	717%
Emerald Health	$2,636	740%
First Health	$2,636	740%
Phcs	$2,636	740%

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 $2,421.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

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 74177.
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.