CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Fhn Memorial Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $777
  • Cash Discount Price: $2,898
  • vs. Medicare Baseline: 3.19x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Fhn Memorial Hospital is $777. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,898. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.19x the Medicare baseline. Located in 1045 West Stephenson Street, Freeport, IL.
Cash / Self-Pay
$2,898

Average discount available for prompt cash payment at this facility.

Insurance Median
$777

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: $2,898 (1189%)
Insurance Median: $777 (319%)
Cash: $2,898 (1189% of Medicare)
Ins. Median: $777 (319% 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 319% of the Medicare baseline (a markup of 219%). 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
Ecoh - All Other Plans $75 - $4,340 31%
Ecoh Nihp $75 - $4,021 31%
Aetna $80 - $3,555 33%
Health Alliance Mcr Adv $80 - $256 33%
Humana $80 - $5,048 33%
Quartz Mcr Adv $80 - $256 33%
UnitedHealthcare $80 - $4,978 33%
Osf Healthplans - All Plans $140 - $6,382 57%
Meridian Health Plan - All Plans $141 - $263 58%
Blue Cross Blue Shield $193 - $4,308 79%
The Alliance - All Plans $225 - $3,826 92%
Quartz - All Other Plans $518 - $4,148 212%
Northern Il Hp - All Plans $595 - $4,404 244%
Hfn - All Plans $733 - $5,233 301%
Galaxy - All Plans $777 - $5,744 319%
Health Alliance - All Other Plans $777 - $5,744 319%
Interplan Health - All Plans $777 - $5,744 319%
Midland Choice - All Plans $777 - $6,063 319%
Multiplan Phcs - All Plans $777 - $5,425 319%
Preferred Plan Ppo - All Plans $777 - $5,744 319%
Wps - All Plans $777 - $5,578 319%
Trustmark - All Plans $794 - $5,872 326%
Nihp Employ - All Plans $4,021 1650%
First Health - All Plans $4,487 1841%
First Choice Il - All Plans $5,425 2225%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1045 West Stephenson Street, Freeport, IL 61032
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals