CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Saint Joseph Hospital-Elgin

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $372
  • Cash Discount Price: $372
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Saint Joseph Hospital-Elgin is $372. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $372. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.04x the Medicare baseline. Located in 77 N Airlite Street, Elgin, IL.
Cash / Self-Pay
$372

Average discount available for prompt cash payment at this facility.

Insurance Median
$372

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: $372 (104%)
Insurance Median: $372 (104%)
Cash: $372 (104% of Medicare)
Ins. Median: $372 (104% 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
Ravenswood Physicians Associates Ipa $223 - $372 63%
Resurrection Physicians Provider Group Ipa $223 - $372 63%
Standard Eapg Logic - Contracts $263 74%
Aetna $264 - $1,078 74%
Blue Cross Blue Shield $264 - $521 74%
Humana $264 - $409 74%
Medicaid / KanCare $264 - $277 74%
Meridian $277 - $391 78%
Molina $277 - $558 78%
Cigna $341 - $800 96%
Celtic (Wellcare) $372 104%
Clear Spring Health Of Illinois $372 104%
Devoted Health $372 104%
Essential Health Partners $372 - $428 104%
Longevity Health Plan Of Illinois $372 104%
Medicare (plans) $372 104%
Self-Pay $372 104%
Tricare $372 104%
United Behavioral $372 104%
UnitedHealthcare $372 - $823 104%
Zing Health Provider Network $383 107%
Providers Partners Health Plan (Pphp) $391 110%
Harmony Health Plan $394 111%
Access Community Health Network $446 125%
Clifton Health Systems $577 162%
Ambetter / Centene $603 169%
Imagine Health Network, Inc $824 231%
Community Partners Health Plan $1,460 410%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 77 N Airlite Street, Elgin, IL 60123
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals