CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Indiana Regional Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $358
  • Cash Discount Price: $1,913
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Indiana Regional Medical Center is $358. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,913. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.00x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$1,913

Average discount available for prompt cash payment at this facility.

Insurance Median
$358

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: $1,913 (537%)
Insurance Median: $358 (100%)
Cash: $1,913 (537% of Medicare)
Ins. Median: $358 (100% 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
UnitedHealthcare $222 - $2,126 62%
Upmc Health Plan $231 - $5,110 65%
Highmark $235 - $1,002 66%
Highmark Wholecare $247 - $364 69%
Premier Comp Solutions, Llc $250 70%
Amerihealth Caritas $254 - $376 71%
Geisinger Health Plan $254 - $376 71%
Ambetter / Centene $260 - $376 73%
Humana $276 - $358 77%
Aetna $279 - $1,114 78%
Tricare $280 - $5,314 79%
Cigna $281 - $977 79%
Medicare (plans) $281 - $364 79%
United Mine Workers Of America $281 - $364 79%
Geisinger $393 - $1,019 110%
Pa Health And Wellness Commercial $393 - $1,019 110%
Department Of Human Services And Torrance State Hospital $3,348 939%
Miscellaneous Commercial $5,314 1491%
Pa Workers Compensation $5,314 1491%

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