CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Massac Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,869
Cash Discount Price: $3,790
vs. Medicare Baseline: 8.05x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Massac Memorial Hospital is $2,869. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,790. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 8.05x the Medicare baseline. Located in 28 Chick Street, Po Box 850, Metropolis, IL.

Cash / Self-Pay

$3,790

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,869

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: $3,790 (1063%)

Insurance Median: $2,869 (805%)

Cash: $3,790 (1063% of Medicare)

Ins. Median: $2,869 (805% 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 805% of the Medicare baseline (a markup of 705%). 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	$683 - $4,429	192%
Blue Cross Blue Shield	$683 - $5,197	192%
Medicaid / KanCare	$683	192%
Molina Ky Mcaid	$683	192%
Healthlink Hmo	$1,282	360%
Healthlink Ppo-All Other Plans	$1,350	379%
Chesi Op Only-All Plans	$2,869	805%
Health Alliance Mcare Adv	$2,869	805%
Humana	$2,869	805%
Health Alliance Exchange	$3,519	987%
Health Alliance-All Other Plans	$3,519	987%
Prime Health Services-All Plans	$3,519	987%
Cigna	$4,461	1252%
UnitedHealthcare	$4,548	1276%
Multiplan-All Plans	$4,873	1367%

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 $3,790.
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 Massac Memorial 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.