CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Trinity Muscatine

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $336
  • Cash Discount Price: $625
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Trinity Muscatine is $336. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $625. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.94x the Medicare baseline. Located in 1518 Mulberry Avenue, Muscatine, IA.
Cash / Self-Pay
$625

Average discount available for prompt cash payment at this facility.

Insurance Median
$336

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: $625 (175%)
Insurance Median: $336 (94%)
Cash: $625 (175% of Medicare)
Ins. Median: $336 (94% 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
Aetna $80 - $925 22%
Ambetter / Centene $80 - $527 22%
Blue Cross Blue Shield $80 - $1,236 22%
Health Alliance $80 - $336 22%
Humana $84 - $346 24%
Meridian Health Plan $84 - $346 24%
UnitedHealthcare $84 - $1,073 24%
Wellmark Uph Self-Funded $166 - $1,236 47%
Cigna $168 - $2,939 47%
Health Partners Open Network $183 - $1,875 51%
Bc Illinois Community $200 - $1,322 56%
Amerigroup $308 86%
Iowa Total Care $308 86%
Medica Exchange Inspire $1,967 552%
Medica Exchange Insure $2,203 618%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1518 Mulberry Avenue, Muscatine, IA 52761
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals