CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: St Joseph's Hospital

Billing Code: 74176 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$496
about 2.0× the $244 Medicare rate · typically $258–$1,713
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,253
Well above the fair price
about $757 over the fair price · 5.1× Medicare
Medicare pays $244 Fair price $496 This hospital $1,253 Cash price $4,477 Hospital's list price $6,218

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $93 Priciest $1,253

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $496 (about 2.0× the $244 Medicare rate). St Joseph's Hospital charges insurers about $1,253, or about $4,477 in cash — well above the fair price. Located in Highland, IL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $496. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,244 - $6,218 510%
Blue Cross Blue Shieldmajor $1,244 510%
Aetnamajor $1,244 - $4,346 510%
Cignamajor $1,190 488%
Humanamajor $1,244 510%
Health Net $6,218 2551%
HealthLink $5,285 2168%
Meridian $642 263%
Molina $613 - $1,244 251%
+ 15 smaller / regional plans $1,244 - $6,218
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 12866 Troxler Avenue, Highland, IL 62249
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals