CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Clarion Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $671
  • Cash Discount Price: $1,283
  • vs. Medicare Baseline: 1.88x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Clarion Hospital is $671. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,283. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.88x the Medicare baseline. Located in One Hospital Drive, Clarion, PA.
Cash / Self-Pay
$1,283

Average discount available for prompt cash payment at this facility.

Insurance Median
$671

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: $1,283 (360%)
Insurance Median: $671 (188%)
Cash: $1,283 (360% of Medicare)
Ins. Median: $671 (188% 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
Upmc $241 - $3,105 68%
Medicaid / KanCare $263 74%
Amerihealth $289 - $344 81%
Jefferson Health Plan $289 81%
Geisinger $316 - $361 89%
Highmark $340 - $779 95%
Highmark Community Blue $342 96%
Cigna $344 - $1,146 97%
Martin'S Point - Usfhp $344 - $802 97%
Medicare (plans) $344 97%
Tricare $344 97%
UnitedHealthcare $344 97%
Aetna $354 - $2,039 99%
Devoted Health Plan $364 - $916 102%
The Health Plan $364 - $807 102%
Gateway $368 - $848 103%
Pa Health & Wellness $368 103%
American Health Plan $378 106%
Workers Comp $522 146%
Highmark - Ind.& Managed Care $771 - $779 216%
Peak Health $807 - $1,604 226%
Devon $1,718 482%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Drive, Clarion, PA 16214
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals