CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Fhn Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $895
  • Cash Discount Price: $3,364
  • vs. Medicare Baseline: 2.51x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Fhn Memorial Hospital is $895. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,364. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.51x the Medicare baseline. Located in 1045 West Stephenson Street, Freeport, IL.
Cash / Self-Pay
$3,364

Average discount available for prompt cash payment at this facility.

Insurance Median
$895

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: $3,364 (944%)
Insurance Median: $895 (251%)
Cash: $3,364 (944% of Medicare)
Ins. Median: $895 (251% 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 251% of the Medicare baseline (a markup of 151%). 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 - $5,042 21%
Ecoh Nihp $75 - $4,671 21%
Aetna $84 - $4,130 24%
Health Alliance Mcr Adv $84 - $374 24%
Humana $84 - $5,865 24%
Quartz Mcr Adv $84 - $374 24%
UnitedHealthcare $84 - $5,783 24%
Osf Healthplans - All Plans $147 - $7,414 41%
Meridian Health Plan - All Plans $165 - $263 46%
Blue Cross Blue Shield $201 - $5,005 56%
The Alliance - All Plans $235 - $4,445 66%
Quartz - All Other Plans $597 - $4,819 167%
Northern Il Hp - All Plans $686 - $5,116 192%
Hfn - All Plans $846 - $6,080 237%
Galaxy - All Plans $895 - $6,673 251%
Health Alliance - All Other Plans $895 - $6,673 251%
Interplan Health - All Plans $895 - $6,673 251%
Midland Choice - All Plans $895 - $7,044 251%
Multiplan Phcs - All Plans $895 - $6,302 251%
Preferred Plan Ppo - All Plans $895 - $6,673 251%
Wps - All Plans $895 - $6,480 251%
Trustmark - All Plans $915 - $6,821 257%
Nihp Employ - All Plans $4,671 1310%
First Health - All Plans $5,212 1462%
First Choice Il - All Plans $6,302 1768%

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