CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Warner Hospital and Health Services

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $3,946
Cash Discount Price: $5,059
vs. Medicare Baseline: 11.07x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Warner Hospital and Health Services is $3,946. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,059. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 11.07x the Medicare baseline. Located in 422 W White St, Clinton, IL.

Cash / Self-Pay

$5,059

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,946

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: $5,059 (1419%)

Insurance Median: $3,946 (1107%)

Cash: $5,059 (1419% of Medicare)

Ins. Median: $3,946 (1107% 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 1107% of the Medicare baseline (a markup of 1007%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$1,153 - $4,300	323%
Blue Cross Blue Shield	$1,153 - $4,958	323%
Harmony Hp Mcaid-All Plans	$1,153	323%
Medicaid / KanCare	$1,153	323%
Meridian Hp-All Plans	$1,153	323%
Molina-All Other Plans	$1,153	323%
Health Alliance Med Adv	$2,074	582%
Humana	$2,074 - $4,300	582%
Molina Mcr/Mcd Dual	$2,074	582%
UnitedHealthcare	$2,074 - $4,300	582%
Wellcare Mcr Adv-All Plans	$2,074	582%
Healthlink Hmo	$3,946	1107%
City Of Clinton (Employees Serv)-All Plans	$4,048	1136%
Cigna	$4,199	1178%
Caterpillar-All Plans	$4,300	1206%
Multiplan Phcs-All Plans	$4,300	1206%
Health Alliance-All Other Plans	$4,452	1249%
Healthlink Ppo/Work Comp-All Other Plans	$4,452	1249%
Consociate Care Ppo-All Plans	$4,553	1277%
Hfn Ppo/Epo-All Plans	$4,553	1277%
Three Rivers-All Plans	$4,806	1348%

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 $5,059.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Warner Hospital and Health Services is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
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.