CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Northshore University Healthsystem - Evanston Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $693
  • Cash Discount Price: $3,726
  • vs. Medicare Baseline: 2.84x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Northshore University Healthsystem - Evanston Hospital is $693. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,726. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.84x the Medicare baseline. Located in 2650 Ridge Ave, Evanston, IL.
Cash / Self-Pay
$3,726

Average discount available for prompt cash payment at this facility.

Insurance Median
$693

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: $3,726 (1528%)
Insurance Median: $693 (284%)
Cash: $3,726 (1528% of Medicare)
Ins. Median: $693 (284% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 284% of the Medicare baseline (a markup of 184%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $256 105%
Blue Cross Blue Shield $665 - $782 273%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2650 Ridge Ave, Evanston, IL 60201
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals