CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Deaconess Illinois Crossroads

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $508
  • Cash Discount Price: $2,270
  • vs. Medicare Baseline: 1.43x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Deaconess Illinois Crossroads is $508. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,270. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.43x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$2,270

Average discount available for prompt cash payment at this facility.

Insurance Median
$508

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: $2,270 (637%)
Insurance Median: $508 (143%)
Cash: $2,270 (637% of Medicare)
Ins. Median: $508 (143% 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.

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 $58 - $8,152 16%
Blue Cross Blue Shield $58 - $4,901 16%
Meridian Health Plan $58 - $372 16%
Molina Healthcare Of Illinois $58 - $376 16%
Wellcare $58 - $372 16%
Humana $81 - $8,049 23%
Mytru Advantage $81 - $372 23%
Umwa $81 - $372 23%
UnitedHealthcare $81 - $5,985 23%
Deaconess Onecare $106 - $5,469 30%
Alliance Coal $112 - $614 31%
Self-Pay $112 - $2,270 31%
Cigna $124 - $4,014 35%
Alter-Net Medical Services, Inc. $130 - $3,612 36%
Noncontracted $130 - $596 36%
Prime Health Services $240 - $7,739 67%
Guardian Resources, Inc. $269 - $8,668 75%
Healthcare'S Finest Network (Hfn) $272 - $8,771 76%
Medicalcontrol Network Solutions $272 - $8,771 76%
National Provider Network $272 - $8,771 76%
Three Rivers Provider Network $278 - $8,977 78%
Beech Street $282 - $9,080 79%
Care Improvement Plus $380 107%
Encore Combined $602 - $6,294 169%
Encore Prime/Elite/Elite + $602 - $5,665 169%
Hope Trust $1,061 - $3,612 298%
Wexford Health Sources $4,643 - $7,223 1303%
Great West Healthcare Of Illinois $7,739 2171%
Multiplan - Primary Network - Phcs $8,100 2273%
Healthlink $8,255 - $8,771 2316%
Coventry Healthcare $8,688 2438%
First Health $8,688 2438%
Multiplan - Complementary Network $8,812 2472%

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