CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Trinity Rock Island

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $200
Cash Discount Price: $399
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Trinity Rock Island is $200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $399. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 0.82x the Medicare baseline. Located in 2701 17Th St, Rock Island, IL.

Cash / Self-Pay

$399

Average discount available for prompt cash payment at this facility.

Insurance Median

$200

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: $399 (164%)

Insurance Median: $200 (82%)

Cash: $399 (164% of Medicare)

Ins. Median: $200 (82% 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	$76 - $686	31%
Ambetter / Centene	$76 - $403	31%
Blue Cross Blue Shield	$76 - $613	31%
Health Alliance	$76 - $257	31%
Amerivantage	$80 - $265	33%
Humana	$80 - $265	33%
Medicare (plans)	$80 - $257	33%
Meridian Health Plan	$80 - $265	33%
UnitedHealthcare	$80 - $634	33%
Cigna	$161 - $2,597	66%
Health Partners Open Network	$174 - $415	71%
Iowa Total Care	$188	77%
Wellmark Uph Self-Funded	$192 - $613	79%
Bc Illinois Community	$237 - $355	97%
Medica Exchange Inspire	$1,941	796%
Medica Exchange Insure	$2,173	891%

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 $399.
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 Trinity Rock Island 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.