CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: UW Health

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $244
Cash Discount Price: $996
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at UW Health is $244. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $996. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.00x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.

Cash / Self-Pay

$996

Average discount available for prompt cash payment at this facility.

Insurance Median

$244

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: $996 (409%)

Insurance Median: $244 (100%)

Cash: $996 (409% of Medicare)

Ins. Median: $244 (100% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$122 - $2,888	50%
Blue Cross Blue Shield	$122 - $1,778	50%
Humana	$122 - $244	50%
Medicare (plans)	$122 - $268	50%
Mychoice Wi Medical Adv	$122 - $244	50%
UnitedHealthcare	$122 - $3,075	50%
Quartz Fully Insured	$1,388	569%
Ecoh	$2,029 - $3,150	832%
Hfn	$2,029 - $3,150	832%
Alliance Premier Network	$2,184	896%
Quartz Aso	$2,185	896%
The Alliance	$2,811	1153%
Wps Ppo	$3,094	1269%
Cigna	$3,193	1310%
Beloit Healt System	$3,610	1481%
Mercycare	$3,735	1532%
First Health/Coventry	$3,934	1614%
Health Payment Systems	$4,669	1915%
Healthsmart	$4,669	1915%
Sheboygan Employers Health Network	$4,980	2043%
Multiplan	$5,565	2283%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $996.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm UW Health is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.