CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Independence Health System Butler Memorial Hospita

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $486
  • Cash Discount Price: $1,532
  • vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Independence Health System Butler Memorial Hospita is $486. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,532. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.99x the Medicare baseline. Located in One Hospital Way, Butler, PA.
Cash / Self-Pay
$1,532

Average discount available for prompt cash payment at this facility.

Insurance Median
$486

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: $1,532 (628%)
Insurance Median: $486 (199%)
Cash: $1,532 (628% of Medicare)
Ins. Median: $486 (199% 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
Medicaid / KanCare $168 69%
UnitedHealthcare $168 - $596 69%
Gateway $175 - $2,297 72%
Upmc $175 - $2,297 72%
Geisinger $183 - $2,188 75%
Amerihealth $185 - $244 76%
Jefferson Health Plan $185 76%
Aetna $194 - $1,750 80%
Highmark $228 - $491 94%
Life Butler County $233 96%
Martin'S Point - Usfhp $233 - $766 96%
Medicare (plans) $233 96%
Peak Health $233 - $1,532 96%
Provider Partners $233 96%
Tricare $233 96%
Workers Comp $239 98%
Humana $242 99%
Devoted Health Plan $246 - $875 101%
The Health Plan $246 - $546 101%
Pa Health & Wellness $249 102%
American Health Plan $256 105%
Pnoa $256 - $1,750 105%
Highmark Aca - Direct Blue $307 - $409 126%
Highmark - Ind.& Managed Care $409 - $545 168%
Highmark Community Blue $409 - $481 168%
Ellwood Group $465 - $941 191%
Cigna $531 - $1,094 218%
Ccbh - Behavioral Health $1,094 - $1,976 449%
Private Healthcare Systems $1,532 - $1,860 628%
Devon $1,641 673%
Intergroup $1,750 718%
Multiplan $1,969 808%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Way, Butler, PA 16001
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals