CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Community First Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $382
Cash Discount Price: $1,493
vs. Medicare Baseline: 1.07x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Community First Medical Center is $382. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,493. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.07x the Medicare baseline. Located in 5645 W Addison Street, Chicago, IL.

Cash / Self-Pay

$1,493

Average discount available for prompt cash payment at this facility.

Insurance Median

$382

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: $1,493 (419%)

Insurance Median: $382 (107%)

Cash: $1,493 (419% of Medicare)

Ins. Median: $382 (107% 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.

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
Blue Cross Blue Shield	$371 - $1,018	104%
Beacon Mcr Op Only - All Other Plans	$374	105%
Harmony Mcr Adv - All Other Plans	$374	105%
Humana	$374 - $978	105%
Meridian Mcr Adv - All Other Plans	$374	105%
Molina Marketplace - All Other Plans	$374	105%
Molina Mcr Adv	$374	105%
Zing Hlth Mcr Adv - All Plans	$374	105%
Aetna	$382 - $2,985	107%
Beacon Mcaid Op Only	$382	107%
Cchhs Mcaid	$382	107%
County Care Mcaid - All Plans	$382	107%
Harmony Mcaid	$382	107%
Meridian Mcaid	$382	107%
Molina Mcaid	$382	107%
UnitedHealthcare	$617	173%
Cigna	$761 - $946	214%

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 $1,493.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Community First Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.