CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Deaconess Illinois Crossroads

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $418
  • Cash Discount Price: $2,110
  • vs. Medicare Baseline: 1.71x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Deaconess Illinois Crossroads is $418. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,110. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.71x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$2,110

Average discount available for prompt cash payment at this facility.

Insurance Median
$418

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: $2,110 (866%)
Insurance Median: $418 (171%)
Cash: $2,110 (866% of Medicare)
Ins. Median: $418 (171% 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.

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 $55 - $7,578 23%
Blue Cross Blue Shield $55 - $4,557 23%
Meridian Health Plan $55 - $252 23%
Molina Healthcare Of Illinois $55 - $254 23%
Wellcare $55 - $252 23%
Humana $77 - $7,483 32%
Mytru Advantage $77 - $252 32%
Umwa $77 - $252 32%
UnitedHealthcare $77 - $5,564 32%
Deaconess Onecare $100 - $5,084 41%
Alliance Coal $106 - $416 43%
Alter-Net Medical Services, Inc. $123 - $3,358 50%
Noncontracted $123 - $403 50%
Self-Pay $124 - $2,110 51%
Cigna $138 - $3,732 57%
Care Improvement Plus $257 105%
Prime Health Services $266 - $7,195 109%
Guardian Resources, Inc. $297 - $8,058 122%
Healthcare'S Finest Network (Hfn) $301 - $8,154 123%
Medicalcontrol Network Solutions $301 - $8,154 123%
National Provider Network $301 - $8,154 123%
Three Rivers Provider Network $308 - $8,346 126%
Beech Street $312 - $8,442 128%
Encore Combined $602 - $5,852 247%
Encore Prime/Elite/Elite + $602 - $5,267 247%
Hope Trust $718 - $3,358 295%
Wexford Health Sources $4,317 - $6,715 1771%
Great West Healthcare Of Illinois $7,195 2952%
Multiplan - Primary Network - Phcs $7,530 3089%
Healthlink $7,674 - $8,154 3148%
Coventry Healthcare $8,077 3313%
First Health $8,077 3313%
Multiplan - Complementary Network $8,192 3361%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals