CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Saint Anthony Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,116
Cash Discount Price: $1,396
vs. Medicare Baseline: 5.94x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Saint Anthony Hospital is $2,116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,396. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 5.94x the Medicare baseline. Located in 2875 West 19Th Street, Chicago, IL.

Cash / Self-Pay

$1,396

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,116

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: $1,396 (392%)

Insurance Median: $2,116 (594%)

Cash: $1,396 (392% of Medicare)

Ins. Median: $2,116 (594% 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 594% of the Medicare baseline (a markup of 494%). 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
Aetna	$372 - $3,575	104%
Blue Cross Blue Shield	$372 - $2,221	104%
Cigna	$372 - $511	104%
Humana	$372	104%
Oak Street Health	$372	104%
UnitedHealthcare	$372 - $911	104%
Zing Health	$372	104%
Access Community Health Network	$1,471 - $1,645	413%
Healthlink	$2,724 - $2,860	764%
Healthsmart	$3,178 - $3,337	892%
Galaxy Health Network	$3,632 - $3,814	1019%
Prime Health	$3,632 - $3,814	1019%
Zelis Healthcare	$3,632 - $3,814	1019%

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 $1,396.
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 Saint Anthony Hospital 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.