CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Mc Donough District Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $550
  • Cash Discount Price: $2,169
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mc Donough District Hospital is $550. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,169. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.54x the Medicare baseline. Located in 525 East Grant Street, Macomb, IL.
Cash / Self-Pay
$2,169

Average discount available for prompt cash payment at this facility.

Insurance Median
$550

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: $2,169 (609%)
Insurance Median: $550 (154%)
Cash: $2,169 (609% of Medicare)
Ins. Median: $550 (154% 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
Health Alliance $50 - $5,859 14%
Hfn $78 - $5,925 22%
UnitedHealthcare $78 - $5,925 22%
Aetna $83 - $6,583 23%
Humana $83 - $5,925 23%
Medicaid / KanCare $83 - $6,583 23%
Medicare (plans) $83 - $399 23%
Meridian $83 - $399 23%
Molina $83 - $6,583 23%
Mutual Medical $83 - $6,583 23%
Veteran Affairs $83 - $399 23%
Tricare $372 104%
Blue Cross Blue Shield $382 - $6,583 107%
Springfield Health $531 - $5,398 149%
Consociate $550 - $5,596 154%
Trilogy $550 - $5,596 154%
Blue Choice $582 - $5,925 163%
Current Health $582 - $5,925 163%
Healthlink $582 - $6,188 163%
Preferred Plan $615 - $6,254 173%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 525 East Grant Street, Macomb, IL 61455
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals