CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: St Luke's Wood River Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,150
Cash Discount Price: $3,013
vs. Medicare Baseline: 6.03x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at St Luke's Wood River Medical Center is $2,150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,013. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.03x the Medicare baseline. Located in 100 Hospital Drive, Ketchum, ID.

Cash / Self-Pay

$3,013

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,150

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: $3,013 (845%)

Insurance Median: $2,150 (603%)

Cash: $3,013 (845% of Medicare)

Ins. Median: $2,150 (603% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 603% of the Medicare baseline (a markup of 503%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Commercial [1028]	$1,290 - $3,650	362%
Medicare (plans)	$1,290 - $2,188	362%
Veterans Affairs [1056]	$1,290 - $2,145	362%
Blue Cross Blue Shield	$1,303 - $3,217	366%
UnitedHealthcare	$1,354 - $3,406	380%
Aetna	$1,419 - $3,575	398%
Moda [1055]	$1,991 - $3,311	559%
Geha [1065]	$2,048 - $3,406	575%
United Medical Resources [1051]	$2,048 - $3,406	575%
Cigna	$2,105 - $3,500	591%
Providence [1022]	$2,105 - $3,500	591%
Pacificsource [1020]	$2,127 - $3,537	597%
First Health [1064]	$2,150 - $3,650	603%
Webtpa [1071]	$2,150 - $3,575	603%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,013.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Luke's Wood River Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.