CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HSHS St Elizabeth's Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $455
  • Cash Discount Price: $5,604
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HSHS St Elizabeth's Hospital is $455. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,604. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.28x the Medicare baseline. Located in One St Elizabeth Boulevard, O Fallon, IL.
Cash / Self-Pay
$5,604

Average discount available for prompt cash payment at this facility.

Insurance Median
$455

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: $5,604 (1572%)
Insurance Median: $455 (128%)
Cash: $5,604 (1572% of Medicare)
Ins. Median: $455 (128% 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.

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
Molina Healthcare $138 - $417 39%
Meridian Health Plan $145 - $290 41%
Aetna $149 - $5,480 42%
Blue Cross Blue Shield $149 - $7,784 42%
Claim Doc $149 - $997 42%
Clear Spring Health Of Illinois $149 - $399 42%
Health Alliance Medical Plans $149 - $6,616 42%
Health Partners $149 - $399 42%
Hopetrust $149 - $957 42%
Humana $149 - $399 42%
Naphcare $149 - $864 42%
Sae Hospice $149 - $399 42%
UnitedHealthcare $149 - $7,784 42%
Celtic Insurance Company $398 - $797 112%
Amish Community $2,180 612%
Cigna $2,290 - $7,784 642%
Wellfirst $5,012 1406%
First Health $5,791 1625%
Healthlink $6,188 - $7,784 1736%
Caterpillar, Inc. $6,251 1754%
Consociate Group $6,850 1922%
Choicecare $7,006 1966%
Healthcare Finest Network (Hfn) $7,006 1966%
Multiplan/Phcs $7,006 1966%
Provider Network Of America $7,006 1966%
City Of Springfield $7,784 2184%
Current Health Solutions $7,784 2184%
Healthscope $7,784 2184%
Illinois Breast And Cervical Cancer Program $7,784 2184%
Interplan $7,784 2184%
Live360 $7,784 2184%
Wexford $7,784 2184%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One St Elizabeth Boulevard, O Fallon, IL 62269
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals