CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Rush University Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,604
  • Cash Discount Price: $3,243
  • vs. Medicare Baseline: 4.50x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Rush University Medical Center is $1,604. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,243. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.50x the Medicare baseline. Located in 1653 West Congress Parkway, Chicago, IL.
Cash / Self-Pay
$3,243

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,604

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: $3,243 (910%)
Insurance Median: $1,604 (450%)
Cash: $3,243 (910% of Medicare)
Ins. Median: $1,604 (450% 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 450% of the Medicare baseline (a markup of 350%). 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
Blue Cross Blue Shield $382 - $6,486 107%
County Care Mcaid - All Plans $382 107%
Meridian Mcaid - All Other Plans $382 107%
Aetna $385 - $6,486 108%
Molina Fide-Snp $389 109%
Meridian Dnsp $393 110%
Molina Mcaid $404 113%
Cigna $425 - $6,486 119%
Ambetter / Centene $505 142%
Molina Exch - All Other Plans $508 143%
UnitedHealthcare $936 - $8,756 263%
Devoted Mcr Adv - All Plans $6,486 1820%
Humana $6,486 1820%
Wellcare Mcr Adv - All Plans $6,486 1820%
Zing Hlth Mcr Adv - All Plans $6,875 1929%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1653 West Congress Parkway, Chicago, IL 60612
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals