CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Northwestern Medicine Kishwaukee Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $6,486
  • Cash Discount Price: $6,049
  • vs. Medicare Baseline: 18.20x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Northwestern Medicine Kishwaukee Hospital is $6,486. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,049. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 18.20x the Medicare baseline. Located in One Kish Hospital Drive, Dekalb, IL.
Cash / Self-Pay
$6,049

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,486

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: $6,049 (1697%)
Insurance Median: $6,486 (1820%)
Cash: $6,049 (1697% of Medicare)
Ins. Median: $6,486 (1820% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1820% of the Medicare baseline (a markup of 1720%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $1,581 - $7,432 444%
Health'S Finest Network [126] $3,889 - $7,951 1091%
Blue Cross Blue Shield $4,831 - $8,642 1355%
The Alliance [1703] $5,617 1576%
Healthlink [125] $6,482 1819%
Choicecare [177] $6,533 1833%
Multiplan/Phcs [142] $6,741 - $8,642 1891%
Coventry [1218] $7,432 2085%
Coventryone Ppo [17110] $7,432 2085%
First Health Plan [6034] $7,432 2085%
UnitedHealthcare $8,642 2425%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Kish Hospital Drive, Dekalb, IL 60115
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals