CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Warner Hospital and Health Services

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $3,692
  • Cash Discount Price: $4,733
  • vs. Medicare Baseline: 15.15x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Warner Hospital and Health Services is $3,692. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,733. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 15.15x the Medicare baseline. Located in 422 W White St, Clinton, IL.
Cash / Self-Pay
$4,733

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,692

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: $4,733 (1942%)
Insurance Median: $3,692 (1515%)
Cash: $4,733 (1942% of Medicare)
Ins. Median: $3,692 (1515% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1515% of the Medicare baseline (a markup of 1415%). 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 $1,153 - $4,023 473%
Blue Cross Blue Shield $1,153 - $4,638 473%
Harmony Hp Mcaid-All Plans $1,153 473%
Medicaid / KanCare $1,153 473%
Meridian Hp-All Plans $1,153 473%
Molina-All Other Plans $1,153 473%
Health Alliance Med Adv $1,941 796%
Humana $1,941 - $4,023 796%
Molina Mcr/Mcd Dual $1,941 796%
UnitedHealthcare $1,941 - $4,023 796%
Wellcare Mcr Adv-All Plans $1,941 796%
Healthlink Hmo $3,692 1515%
City Of Clinton (Employees Serv)-All Plans $3,786 1553%
Cigna $3,928 1611%
Caterpillar-All Plans $4,023 1650%
Multiplan Phcs-All Plans $4,023 1650%
Health Alliance-All Other Plans $4,165 1709%
Healthlink Ppo/Work Comp-All Other Plans $4,165 1709%
Consociate Care Ppo-All Plans $4,260 1748%
Hfn Ppo/Epo-All Plans $4,260 1748%
Three Rivers-All Plans $4,496 1844%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 422 W White St, Clinton, IL 61727
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals