CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Carle Eureka Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,935
Cash Discount Price: $6,523
vs. Medicare Baseline: 8.23x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Carle Eureka Hospital is $2,935. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,523. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 8.23x the Medicare baseline. Located in 101 S Major St, Eureka, IL.

Cash / Self-Pay

$6,523

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,935

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: $6,523 (1830%)

Insurance Median: $2,935 (823%)

Cash: $6,523 (1830% of Medicare)

Ins. Median: $2,935 (823% 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 823% of the Medicare baseline (a markup of 723%). 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	$162 - $4,312	45%
Humana	$322 - $2,935	90%
Wellcare	$374	105%
Cigna	$600	168%
Meridian	$652 - $3,131	183%
Molina	$1,305 - $3,131	366%
UnitedHealthcare	$1,700 - $2,935	477%
Community Partners Health Plan (Cphp)	$3,914	1098%
Healthlink	$4,240	1190%
Blue Cross Blue Shield	$4,370 - $5,479	1226%
Multiplan/Phcs	$4,892	1372%

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 $6,523.
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 Carle Eureka Hospital 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.