CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Indiana Regional Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $230
  • Cash Discount Price: $1,311
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Indiana Regional Medical Center is $230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,311. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.94x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$1,311

Average discount available for prompt cash payment at this facility.

Insurance Median
$230

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: $1,311 (538%)
Insurance Median: $230 (94%)
Cash: $1,311 (538% of Medicare)
Ins. Median: $230 (94% 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
UnitedHealthcare $116 - $1,457 48%
Upmc Health Plan $121 - $3,468 50%
Amerihealth Caritas $133 - $257 55%
Geisinger Health Plan $133 - $257 55%
Ambetter / Centene $136 - $257 56%
Highmark $144 - $685 59%
Highmark Wholecare $169 - $249 69%
Humana $170 - $245 70%
Aetna $172 - $762 71%
Tricare $172 - $3,642 71%
Cigna $173 - $623 71%
Medicare (plans) $173 - $249 71%
United Mine Workers Of America $173 - $249 71%
Premier Comp Solutions, Llc $225 92%
Geisinger $242 - $697 99%
Pa Health And Wellness Commercial $242 - $697 99%
Department Of Human Services And Torrance State Hospital $2,294 941%
Miscellaneous Commercial $3,642 1494%
Pa Workers Compensation $3,642 1494%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 Hospital Road, Indiana, PA 15701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals