CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Memorial Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $4,693
  • Cash Discount Price: $7,822
  • vs. Medicare Baseline: 13.17x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Memorial Medical Center is $4,693. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,822. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 13.17x the Medicare baseline. Located in 701 N First St, Springfield, IL.
Cash / Self-Pay
$7,822

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,693

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: $7,822 (2195%)
Insurance Median: $4,693 (1317%)
Cash: $7,822 (2195% of Medicare)
Ins. Median: $4,693 (1317% 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 1317% of the Medicare baseline (a markup of 1217%). 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
Veterans Administration $265 74%
Blue Cross Blue Shield $278 - $7,822 78%
Aetna $368 - $5,945 103%
Health Alliance $368 - $5,084 103%
Medicare (plans) $368 - $7,822 103%
Tricare $368 103%
UnitedHealthcare $368 - $4,850 103%
Medicaid / KanCare $382 107%
Humana $386 - $4,693 108%
Molina $389 109%
Cigna $1,041 292%
Current Health Network Ppo $3,520 988%
Healthlink $3,911 - $4,928 1097%
Commercial Workers Compensation $3,953 1109%
Illinois Workers Compensation $4,161 1167%
Phcs/Multiplan $4,224 - $4,693 1185%
6 Degrees Health $4,693 1317%
Hopetrust $4,693 1317%
Hst $4,693 1317%
Magellan $4,693 1317%
Consociate $5,084 1426%
Hfn $5,084 1426%
Preferred Plan $5,866 1646%
Soi Mcfarland $5,866 1646%
Soi Rushville $5,866 1646%
Corvel $6,258 1756%
Methodist First Choice $6,258 1756%
Mutual Medical Plans $6,649 1865%
Liability $7,822 2195%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N First St, Springfield, IL 62702
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals